ANTOINETTE M PTAK (NPI# 1396748943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396748943 |
| Entity Type | Individual |
| Full Name | ANTOINETTE M PTAK |
| Credential | M.D. |
| Practice Address |
101 Wellness Way Ste 300 Milford DE 19963-4366 |
| Mailing Address |
640 S State St Mail Code 3055 Dover DE 19901-3530 |
| Practice Telephone | 3025032460 |
| Practice Fax Number | 3024249162 |
| Mailing Telephone | 3024801688 |
| Mailing Fax Number | 3024809807 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C1-0004804 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000741701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1532 Savannah Rd, Lewes, DE 199581624 | 3025032460 | 3024249162 |
| Street Address |
101 WELLNESS WAY STE 300 |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578037784 | Jessica Marie Bradley | Nurse Practitioner | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2019-01-22 |
| 1457736985 | Wendy Surguy | Nurse Practitioner | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2015-07-27 |
| 1952720005 | Melisa Marie Edler | Obstetrics & Gynecology | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2014-04-15 |
| 1912113127 | Miaohou Xu | Obstetrics & Gynecology | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2007-05-15 |
| 1972718617 | Robert John Nadratowski | Physician Assistant | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2007-05-14 |
| 1447221015 | David W Roberson | Otolaryngology | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760676357 | Tri State Urologic Services Psc | Urology | 5714 C Signal Dr, Milford, OH 45150 | 2007-08-28 |
| 1053312173 | Harvey E Armel | Urology | 140 Clark Street, Milford, CT 06460 | 2005-08-10 |
| 1386643179 | Alan J Malitz | Urology | 284 Broad St, Milford, CT 06460-3226 | 2005-07-14 |
| 1205089893 | Robert L Klaus Md | Urology | 200 Kings Hwy, Suite 7, Milford, DE 19963-1843 | 2008-10-28 |
| 1912179011 | Alan J Malitz Md PC | Urology | 284 Broad St, Milford, CT 06460-3226 | 2008-03-28 |
| 1194924738 | Eddie E. Michli | Urology | 115 Water St, Suite 104, Milford, MA 01757-3015 | 2007-07-13 |
| 1154456317 | Harvey E Armel Md LLC | Urology | 140 Clark St, Milford, CT 06460-3221 | 2007-02-21 |
| 1902982879 | Sanjaya Kumar | Urology | 115 Water Street, Suite 104, Milford, MA 01757-3011 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719123 | Chesapeake Urology Associates, LLC | Urology | 1340 Middleford Rd Ste 402, Seaford, DE 19973-3665 | 2018-02-05 |
| 1548689037 | Robert David Brown | Urology | 501 W 14th St Ste 4e18, Wilmington, DE 19801-1013 | 2014-04-10 |
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1831416510 | Mona Yezdani | Urology | 2000 Foulk Rd Ste F, Wilmington, DE 19810-3642 | 2010-04-21 |
| 1043469133 | Victor Abiragi Inc | Urology | 1304 Old Lancaster Pike, Hockessin, DE 19707-8806 | 2008-09-12 |
| 1407029051 | Ronaldo L. Domingo Md Pa | Urology | 620 Christiana Medical Ctr, Newark, DE 19702-1656 | 2008-04-03 |
| 1255481362 | Ramachandra Umesh Hosmane | Urology | 1408 Savannah Rd, Lewes, DE 19958-1623 | 2007-01-11 |
| 1679633374 | Peter J Muench Md Pa | Urology | H50 Omega Drive, Newark, DE 19713 | 2006-12-11 |
| 1912001090 | Sadashiva Rao | Urology | 1815 W 13th St Ste 4, Wilmington, DE 19806-4054 | 2006-09-11 |
| 1104841014 | Ramachandra U Hosmane Md Pa | Urology | 1408 Savannah Rd., Lewzs, DE 19958 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.