Individual provider Active NPI

Julie Carroll Wigton, M.D.

  • Pediatrics Physician
  • Montgomery, OH
National Provider Identifier
1609197912
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.128931 Issued in OH
Practice address
10700 Montgomery Rd
Montgomery, OH 45242-3255
Phone
(513) 984-5552
Fax
(513) 984-5554
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT 197782 PA
Pediatrics Physician 208000000X 201501182 NC
Pediatrics Physician 208000000X 35.128931 OH Primary
Pediatrics Physician 208000000X MD448100 PA

Addresses

Primary practice location

10700 Montgomery Rd
Montgomery, OH 45242-3255

Mailing address

10700 Montgomery Rd
Montgomery, OH 45242-3255
Phone (513) 984-5552

Other names 1

  • Julie Ann Carroll Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201501182NCMDPediatrics Physician
35.128931OHMDPediatrics Physician
MD448100PAMDPediatrics Physician
MT 197782PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Pediatrics Incorporated Past Accepting new patients
Children'S Hospital Medical Center Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.wigton.1@8872.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8872/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1609197912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423255",
            "telephone_number": "513-984-5552",
            "fax_number": "513-984-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423255",
            "telephone_number": "513-984-5552",
            "fax_number": "513-984-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGTON",
        "first_name": "JULIE",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT 197782",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201501182",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.128931",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD448100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CARROLL",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.