Karen S Ailsworth, MD
Individual provider Active NPI Pediatrics Physician · Baraboo, WI
NPI 1467418335 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1467418335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 35472-020 (WI)
- Practice address
- 1700 Tuttle St
Baraboo, WI 53913-3319 - Phone
- (608) 355-3800
- Fax
- (608) 355-7001
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35472-020 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc, | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35472-020 | WI | Yes |
Addresses
Primary practice location
1700 Tuttle St
Baraboo, WI 53913-3319
Mailing address
1515 Ash St
Baraboo, WI 53913-1356
Phone (608) 355-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32039800 | Medicaid | WI | |
| 1000147 | Other | WI | PHYSICIANS PLUS |
| 4275 | Other | WI | DEAN HEALTH INSURANCE |
Other providers in Baraboo, WI
- A2B Airport Shuttle and Taxi
- Anna Aderton
- Affordable Medfical Transportation Services, Inc.
- Alison Allstadt
- Nadia Yunuen Alonzo
- Moses Alvarez
- Faith Ann Anderson
- Sheryll Ann Anderson
All providers in Baraboo, 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 Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.