PICHAYA SARASOMBATH RATARASARN (NPI# 1225095466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225095466 |
| Entity Type | Individual |
| Full Name | PICHAYA SARASOMBATH RATARASARN |
| Other Name | PICHAYA A SARASOMBATH |
| Credential | M.D. |
| Practice Address |
3051 Cahill Main Fitchburg WI 53711-7109 |
| Mailing Address |
3700 Parmenter St Apt 205 Middleton WI 53562-1537 |
| Practice Telephone | 6086617200 |
| Mailing Telephone | 4142432999 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 48712-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3051 CAHILL MAIN |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739068 | Kathleen A Trott | Psychiatry & Neurology | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2005-06-09 |
| 1669025458 | Annie Dutcher | Physician Assistant | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2019-07-20 |
| 1720571698 | Chelci Schade | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2018-06-14 |
| 1033627336 | Katelyn D Beemon | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2018-01-21 |
| 1619492899 | Amy Elizabeth Brinza | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2017-08-08 |
| 1215467758 | Adam Burns | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2017-06-18 |
| 1982055083 | Thomas Jonathan Waeltz | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2016-06-29 |
| 1104204247 | Rachael Ziska | Internal Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-05-08 |
| 1427443753 | Dylan Steven Ledford | Family Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-04-02 |
| 1609296607 | Amy Louise Rindahl | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2014-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790125029 | Kristopher S Denby | Dermatology | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2013-07-01 |
| 1811968571 | Christine Linn Tock | Dermatology | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
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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.