Wendy Barton, MD
Individual provider Active NPI Pediatrics Physician · Appleton, WI
NPI 1316979008 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1316979008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 36118-020 (WI)
- Practice address
- 2701 E Enterprise Ave
Appleton, WI 54913-7729 - Phone
- (920) 954-2551
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120222000489 | WI | Practitioner - Pediatric Medicine |
0648438648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36118-020 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
2701 E Enterprise Ave
Appleton, WI 54913
Phone (920) 954-2551
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- wbarton27712@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36118-020 | WI | Yes |
Addresses
Primary practice location
2701 E Enterprise Ave
Appleton, WI 54913-7729
Mailing address
PO Box 8003
Appleton, WI 54912-8003
Phone (920) 996-3298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32084200 | Medicaid | WI |
Other providers in Appleton, WI
- Lauren Bartelt
- Ashley Margaret Bartha
- Elizabeth A Barthel
- Russ P Bartholomew
- Deborah Ann Bartmann
- Christopher Paul Bascone
- Hillary Ann Bashaw
- Ashley Bastasic
- Robert James Bastic II
- Chelsea L Baucom-Young
All providers in Appleton, WI · Pediatrics Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.