Individual provider Active NPI

Sheryl Spitzer-Resnick, MD

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1396703443
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28088 Issued in WI
Practice address
1001 N Sherman Ave
Madison, WI 53704-4232
Phone
(608) 284-0202
Fax
(608) 283-8999
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28088 WI Primary

Addresses

Primary practice location

1001 N Sherman Ave
Madison, WI 53704-4232

Mailing address

1001 N Sherman Ave
Madison, WI 53704-4232
Phone (608) 284-0202

Other identifiers 1

IdentifierTypeStateIssuer
31442100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1396703443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044232",
            "telephone_number": "608-284-0202",
            "fax_number": "608-283-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044232",
            "telephone_number": "608-284-0202",
            "fax_number": "608-283-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER-RESNICK",
        "first_name": "SHERYL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31442100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.