Jay Marvin Hartz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

70029 Issued in WI

Practice address

1866 Scarlet Oak TRL
Oshkosh, WI 54904-8874

Phone

(920) 303-2729

Fax

(920) 237-3183

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Pain Management, SCGroup PAC ID 8921009978, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Integrative Pain Management SC

  • Pain Medicine (Anesthesiology) Physician
  • Oshkosh, WI
  • NPI 1558421560
  Medicare reassignment Care Compare group NPD
• Integrative Pain Management SC

  • Anesthesiology Physician
  • De Pere, WI
  • NPI 1124613732
  NPD
• Wisconsin Community Mental Health Counseling Centers, Inc

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1558440552
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SCARLET OAK TRL",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048874",
            "telephone_number": "920-303-2729",
            "fax_number": "920-237-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SCARLET OAK TRL",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048874",
            "telephone_number": "920-303-2729",
            "fax_number": "920-237-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "JAY",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "70029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31863200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula F. Harry, LCSW
• Jennifer L Hart, NP
• Theresa Marie Hart, RN
• Amysue Hartman, MA
• Katherine Hartstern, MD
• Allison Carrie Harwood, APNP
• Allen Lee Hauer, PH. D.
• Kristin Joy Havel, LPC
• Heather Hawk
• Angela Hawley, APNP

• Psychiatry Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.