Active NPI
Julie Carroll Wigton, M.D.
- Pediatrics Physician
- Montgomery, OH
National Provider Identifier
1609197912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.128931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201501182 | NC | MD | Pediatrics Physician |
| 35.128931 | OH | MD | Pediatrics Physician |
| MD448100 | PA | MD | Pediatrics Physician |
| MT 197782 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Pediatrics Incorporated | Past | Accepting new patients | |
| Children'S Hospital Medical Center | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- julie.wigton.1@8872.direct.athenahealth.com
- 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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Preferred Provider Organization
- Cincinnati, OH
- NPI 1194917062
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.