Active NPI
Sandra B Macarthur, MD
- Pediatrics Physician
- Marinette, WI
National Provider Identifier
1417944810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45906020
- Practice address
- 2820 Roosevelt Rd
Marinette, WI 54143-3834 - Phone
- (715) 735-5225
- Fax
- (715) 735-5388
- NPI assigned
- Sep 30, 2005
- Last updated
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45906020 | WI | Primary |
Addresses
Primary practice location
2820 Roosevelt Rd
Marinette, WI 54143-3834
Mailing address
PO Box 1866
Green Bay, WI 54305-1866
Phone (920) 445-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34409800 | Medicaid | WI |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45906020 | WI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1417944810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1866",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543051866",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ROOSEVELT RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433834",
"telephone_number": "715-735-5225",
"fax_number": "715-735-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACARTHUR",
"first_name": "SANDRA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "45906020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34409800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.