Active NPI
Barry L. Tulkki, MD
- Family Medicine Physician
- Amery, WI
National Provider Identifier
1770588667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23277
- Practice address
- 265 Griffin St E
Amery, WI 54001-1439 - Phone
- (715) 268-8000
- Fax
- (715) 268-0311
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23277 | WI | Primary |
Addresses
Primary practice location
265 Griffin St E
Amery, WI 54001-1439
Mailing address
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49170 | Other | MEDICARE GROUP | |
| 46Q74TU | Other | BCBS MN | |
| 00496 | Other | MEDICARE GROUPS | |
| 30471800 | Medicaid | WI | |
| 1007579 | Other | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1770588667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 GRIFFIN ST E",
"city": "AMERY",
"state": "WI",
"postal_code": "540011439",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 GRIFFIN ST E",
"city": "AMERY",
"state": "WI",
"postal_code": "540011439",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULKKI",
"first_name": "BARRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "23277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "49170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "46Q74TU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUPS",
"identifier": "00496",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30471800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1007579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amery, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.