Healthcare Provider Details

I. General information

NPI: 1700466182
Provider Name (Legal Business Name): SARAH ELIZABETH DI BARTOLOMEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S PARK ST STE A404
MADISON WI
53715-1830
US

IV. Provider business mailing address

700 S PARK ST STE A404
MADISON WI
53715-1830
US

V. Phone/Fax

Practice location:
  • Phone: 800-680-4369
  • Fax:
Mailing address:
  • Phone: 800-680-4369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number83727-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number83727-20
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME176557
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.154796
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: