Active NPI
Maria T Aristigueta, M.D.
- Pulmonary Disease Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 28205-020
- Practice address
- 2500 E Capitol Dr
Suite1700
Appleton, WI 54911-8735 - Phone
- (920) 734-9600
- Fax
- (920) 734-4773
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 31, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 28205-020 | WI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 28205 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 28205 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 28205-020 | WI | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 28205 | WI |
Addresses
Primary practice location
2500 E Capitol Dr
Suite1700
Appleton, WI 54911-8735
Mailing address
200 Theda Clark Medical PLZ
Suite 480
Neenah, WI 54956-2721
Phone (920) 729-0608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30811900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28205-020 | WI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Valley Pulmonary Medicine, S.C. | Critical Care Medicine | Current | Accepting new patients |
| Fox Valley Surgical Associates LTD | Past | Accepting new patients |
Locations
2500 E Capitol Dr
Ste 1700
Appleton, WI 54911
Phone (920) 734-9600
2500 E Capitol Dr
Ste 2600
Appleton, WI 54911
Phone (920) 358-1139
200 Theda Clark Medical Plz
Ste 480
Neenah, WI 54956
Phone (920) 729-0608
2500 Garfield St
Two Rivers, WI 54241
Phone (920) 734-9600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Appleton, WI
- NPI 1366506016
Critical Care Medicine
-
- Surgery Physician
- Appleton, WI
- NPI 1376594952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1497823694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 THEDA CLARK MEDICAL PLZ",
"address_2": "SUITE 480",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562721",
"telephone_number": "920-729-0608",
"fax_number": "920-729-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E CAPITOL DR",
"address_2": "SUITE1700",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118735",
"telephone_number": "920-734-9600",
"fax_number": "920-734-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISTIGUETA",
"first_name": "MARIA",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WI",
"license": "28205-020",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WI",
"license": "28205",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "28205",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "28205-020",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WI",
"license": "28205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30811900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.