ELIZABETH MARIE PETTY (NPI# 1447331889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447331889 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARIE PETTY |
| Credential | MD |
| Practice Address |
1500 Highland Ave Madison WI 53705-2274 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082633301 |
| Practice Fax Number | 6082657429 |
| Mailing Telephone | 6088295485 |
| Mailing Fax Number | 6088330999 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
28794-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 28794-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013341627 | Elizabeth G Petty | Licensed Practical Nurse | 2401 E Blackstock Rd, Roebuck, SC 29376-3206 | 2013-08-30 |
| 1902271091 | Elizabeth Petty | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2015-12-01 |
| 1952579476 | Elizabeth A. Petty | Technician, Health Information | Building 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-02-19 |
| 1346439841 | Elizabeth Cody Petty | Registered Nurse | 901 Goodyear Ave, Gadsden, AL 35903-1106 | 2007-10-20 |
| 1477661361 | Elizabeth Ruth Petty | Internal Medicine | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 | 2006-08-29 |
| Street Address |
1500 HIGHLAND AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338737 | Susan Margaret Heighway | Nurse Practitioner | 1500 Highland Ave, Rm 169, Madison, WI 53705-2274 | 2005-06-30 |
| 1740887934 | Kourtni Reed | Occupational Therapist | 1500 Highland Ave, Madison, WI 53705-2280 | 2020-10-01 |
| 1477167146 | Brittany J Storhoff | Nurse Practitioner | 1500 Highland Ave, Madison, WI 53705-2280 | 2020-09-01 |
| 1457961450 | Jessica Mae Ludwig | Speech-Language Pathologist | 1500 Highland Ave, Madison, WI 53705-2280 | 2020-08-04 |
| 1972111763 | Kristina Garcia | Genetic Counselor, MS | 1500 Highland Ave, Madison, WI 53705-2274 | 2020-07-17 |
| 1083232755 | Savanna Brittlebank-douglas | Speech-Language Pathologist | 1500 Highland Ave, Madison, WI 53705-2274 | 2020-07-09 |
| 1508491572 | Lisa Zurbuchen | Behavioral Analyst | 1500 Highland Ave, Madison, WI 53705-2274 | 2020-03-10 |
| 1508401076 | Wanda Meeteer | Nurse Practitioner | 1500 Highland Ave, Madison, WI 53705-2274 | 2019-11-08 |
| 1588205942 | Jennifer Soriano | Speech-Language Pathologist | 1500 Highland Ave, Madison, WI 53705-2280 | 2019-10-07 |
| 1407402548 | Jenna Nicole Decarlo | Speech-Language Pathologist | 1500 Highland Ave, Madison, WI 53705-2274 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851368013 | Richard M Pauli | Medical Genetics | 202 N Yellowstone Dr, Madison, WI 53705-2450 | 2006-03-07 |
| 1083126494 | Michael Stephen Meyn | Medical Genetics | 1111 Highland Ave, Madison, WI 53705-2275 | 2017-10-26 |
| 1720378904 | Khoon Ghee Queenie Tan | Medical Genetics | 1500 Highland Ave, Madison, WI 53705-2274 | 2011-04-09 |
| 1982612420 | Robert David Steiner | Medical Genetics | 1500 Highland Ave, Madison, WI 53705-2274 | 2006-08-03 |
| 1861445512 | William Rhead | Medical Genetics | 1500 Highland Ave, Madison, WI 53705 | 2006-05-17 |
| 1285699363 | Gregory M Rice | Medical Genetics | 1500 Highland Ave, Waisman Center, Madison, WI 53705 | 2006-04-20 |
| 1043288921 | David S Wargowski | Medical Genetics | 1500 Highland Ave, Madison, WI 53705 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972861623 | Luma Healthcare, Inc | Medical Genetics | 1919 W North Ave # 200, Milwaukee, WI 53205-1153 | 2012-05-01 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1053408203 | Shafi Medical Center Sc | Medical Genetics | 1919 W North Ave, #200, Milwaukee, WI 53205 | 2006-10-09 |
| 1598705279 | Benigno Rafael Elejalde | Medical Genetics | 2311 W Good Hope Rd, Glendale, WI 53209-2735 | 2006-06-08 |
| 1780078147 | Emily Slutsky | Medical Genetics | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-03-24 |
| 1699049478 | Nada Derar | Medical Genetics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2012-02-27 |
| 1811216716 | Katie B Williams | Medical Genetics | 507 S Main St, Viroqua, WI 54665-2059 | 2010-05-18 |
| 1902981657 | Gunter Hermann Scharer | Medical Genetics | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2006-10-25 |
Please comment or provide details below to improve the information on ELIZABETH MARIE PETTY.
| 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.