Active NPI
Sandra M Arce-Garzon, M.D.
- Pediatrics Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 47372
- Practice address
- 4220 S 27TH St Ste 200
Milwaukee, WI 53221-1855 - Phone
- (414) 282-5810
- Fax
- (414) 282-5468
- NPI assigned
- Jun 17, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 47372 | WI | Primary |
Addresses
Primary practice location
4220 S 27TH St Ste 200
Milwaukee, WI 53221-1855
Mailing address
4220 S 27TH St. Ste 200
Milwaukee, WI 53221-1855
Phone (414) 282-5810
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2277365 | Other | WI | CCN |
| 34595700 | Medicaid | WI | |
| 7689455 | Other | WI | CIGNA |
| 7281612 | Other | WI | AETNA |
| 2276529 | Other | WI | FIRST HEALTH CARE |
| 1200986 | Other | WI | COMPCARE/IPN |
Other names 1
- Sandra M Arce-Betancourt
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 |
|---|---|---|---|
| 47372 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Best Care Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
4220 S 27th St
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5810
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
Interoperability endpoints
- sarcegarzon378023@direct.aspirus.org
Organizations & group practices 6
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.
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1811333867
-
dba Aspirus Tomahawk Hospital
- Critical Access Hospital
- Tomahawk, WI
- NPI 1598715401
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669477394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 S 27TH ST. STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211855",
"telephone_number": "414-282-5810",
"fax_number": "414-282-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 S 27TH ST STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211855",
"telephone_number": "414-282-5810",
"fax_number": "414-282-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCE-GARZON",
"first_name": "SANDRA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "47372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "2277365",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34595700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7689455",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7281612",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH CARE",
"identifier": "2276529",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCARE/IPN",
"identifier": "1200986",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "ARCE-BETANCOURT",
"middle_name": "M",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.