IVY J DREIZIN (NPI# 1194797324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194797324 |
| Entity Type | Individual |
| Full Name | IVY J DREIZIN |
| Credential | MD |
| Practice Address |
20 S Park St Madison WI 53715 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082872090 |
| Practice Fax Number | 6082872086 |
| Mailing Telephone | 6088295485 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
23025 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
20 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720626 | Candace Rockwell | Nurse Practitioner | 20 S Park St, Madison, WI 53715-1348 | 2020-11-03 |
| 1023666401 | Elizabeth Rushing | Physician Assistant | 20 S Park St, Madison, WI 53715-1348 | 2019-08-29 |
| 1073098711 | Lauren C Knoche | Physician Assistant | 20 S Park St, Madison, WI 53715-1348 | 2018-09-28 |
| 1336648039 | Sarah Jean Benedict | Nurse Practitioner | 20 S Park St, Madison, WI 53715-1348 | 2018-02-08 |
| 1205368487 | Anthony Joesph Davis-maxwell | Internal Medicine | 20 S Park St, Madison, WI 53715-1348 | 2017-03-28 |
| 1700324910 | Colleen M Foley | Nurse Practitioner | 20 S Park St, Madison, WI 53715-1348 | 2017-02-08 |
| 1366996928 | Erin Plumley | Clinical Neuropsychologist | 20 S Park St, Madison, WI 53715-1348 | 2016-08-11 |
| 1992181499 | Aaron Henn | Counselor | 20 S Park St, Madison, WI 53715-1348 | 2015-08-06 |
| 1730561846 | Bridget Erin Shields | Dermatology | 20 S Park St, Madison, WI 53715-1348 | 2015-06-25 |
| 1013324904 | Angela B. Morgan | Physician Assistant | 20 S Park St, Madison, WI 53715-1348 | 2014-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1033505821 | Heydi Flores Podadera | Psychiatry & Neurology | 721 N Midvale Blvd, Madison, WI 53705-3233 | 2015-04-08 |
| 1558636738 | Bruce Bowen Haak | Psychiatry & Neurology | 130 Twin Coves Rd, Madison, CT 06443-2843 | 2012-03-20 |
| 1497931661 | Audrey Jantzen | Psychiatry & Neurology | 1685 Highland Ave, Department of Neurology - Centennial Building, Madison, WI 53705-2281 | 2008-01-17 |
| 1245249960 | Roland Hc Brilla | Psychiatry & Neurology | 210 Shiloh Dr, Madison, WI 53705-2435 | 2006-08-05 |
| 1386617991 | Anne C Weiss | Psychiatry & Neurology | 2006 Van Hise Ave, Madison, WI 53726-4055 | 2006-02-13 |
| 1538132378 | Ronald A Zerofsky | Psychiatry & Neurology | 7218 Colony Dr, Madison, WI 53717-1412 | 2006-02-10 |
| 1841263506 | Barend P Lotz | Psychiatry & Neurology | 3950 Plymouth Cir, Madison, WI 53705-5212 | 2006-02-10 |
| 1447222658 | Paul A Rutecki | Psychiatry & Neurology | 3414 Circle Close, Madison, WI 53705-1409 | 2006-02-02 |
| 1174595375 | Douglas A Dulli | Psychiatry & Neurology | 3754 Country Grove Dr, Madison, WI 53719-5073 | 2006-02-02 |
| Find all providers in MADISON | ||||
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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.