DR. TRACI DIANE SWINK (NPI# 1164740973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164740973 |
Entity Type | Individual |
Full Name | DR. TRACI DIANE SWINK |
Credential | M.D. |
Practice Address |
105 W 5th St Marshfield WI 54449-2819 |
Mailing Address |
Po Box 632 Marshfield WI 54449-0632 |
Practice Telephone | 7152071512 |
Mailing Telephone | 7152071512 |
Enumeration Date | 2010-05-04 |
Last Update Date | 2012-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
43158-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
105 W 5TH ST |
City | MARSHFIELD |
State | WI |
Zip Code | 54449-2819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
Find all providers in zip 54449 |
Taxonomy Code | 2080P0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neurodevelopmental Disabilities |
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003974718 | Norris Glick | Pediatrics | 317 Knutson Drive, Madison, WI 53704-1197 | 2006-12-05 |
1851320360 | Jeffrey Neale Seltz | Pediatrics | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-06-30 |
1154373918 | Mark D Simms | Pediatrics | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-17 |
1477555605 | Nelleen G Noack | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
City | MARSHFIELD |
Zip Code | 54449 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.