Provider Demographics
NPI:1952332553
Name:BARTON, TANYA M (DPM)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:M
Last Name:BARTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MS
Other - First Name:TANYA
Other - Middle Name:M
Other - Last Name:BHATTACHARYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:10640 HAYWARD CT
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-6456
Mailing Address - Country:US
Mailing Address - Phone:715-634-9023
Mailing Address - Fax:715-634-9935
Practice Address - Street 1:11128 N STATE ROAD 77
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-5332
Practice Address - Country:US
Practice Address - Phone:715-634-9023
Practice Address - Fax:715-634-9935
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI888-25213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43237600Medicaid
WICG4176OtherRAILROAD MC
WI43237600Medicaid
WIV01368Medicare UPIN