Individual provider Active NPI

David Don Wartinger, D.O.

  • Urology Physician
  • East Lansing, MI
National Provider Identifier
1306878269
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101011513 Issued in MI
Practice address
2900 Hannah Blvd
Ste 215
East Lansing, MI 48823-5384
Phone
(517) 364-8118
Fax
(517) 364-8119
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101011513 MI Primary

Addresses

Primary practice location

2900 Hannah Blvd
Ste 215
East Lansing, MI 48823-5384

Mailing address

B405 West Fee Hall
Depart of Osteopathic Surgical Specialties
East Lansing, MI 48824-1315
Phone (517) 353-8470

Other identifiers 1

IdentifierTypeStateIssuer
4088240MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1306878269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B405 WEST FEE HALL",
            "address_2": "DEPART OF OSTEOPATHIC SURGICAL SPECIALTIES",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241315",
            "telephone_number": "517-353-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "STE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8118",
            "fax_number": "517-364-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTINGER",
        "first_name": "DAVID",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101011513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4088240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.