Katherine D Bartz, PAC
Individual provider Active NPI Physician Assistant · Milwaukee, WI
NPI 1497033682 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1497033682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2767 (WI)
- Practice address
- 9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522 - Phone
- (414) 805-4600
- Fax
- (414) 805-6805
- NPI assigned
- Jul 22, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2767 | WI | Yes |
Addresses
Primary practice location
9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522
Phone (414) 805-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497033682 | Medicaid | WI |
Other names
- Katherine D Sprung
Other providers in Milwaukee, WI
- Christine Puschak Bartos
- Angela Bartosiak
- Krista Bartosz
- Peter Joseph Bartoszewicz
- Marisa Angeline Bartz-Kurycki
- Peter J. Bartz
- Gita Baruah
- Jitendra Baruah
- David Baruch
- Heidi S Barufkin
All providers in Milwaukee, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. 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.