Active NPI
Susan N Isensee, MD
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1841243615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26139-020
- Practice address
- 1313 Fish Hatchery Rd
Madison, WI 53715-1911 - Phone
- (608) 252-8000
- NPI assigned
- May 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26139-020 | WI | Primary |
Addresses
Primary practice location
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Mailing address
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone (608) 252-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30751600 | Medicaid | WI | |
| 472 | Other | WI | DEAN HEALTH INSURANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26139-020 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1841243615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISENSEE",
"first_name": "SUSAN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "26139-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30751600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "472",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.