ANDREW T TRATAR (NPI# 1508029174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508029174 |
| Entity Type | Individual |
| Full Name | ANDREW T TRATAR |
| Credential | PA-C |
| Practice Address |
118 W Maple Ave Beaver Dam WI 53916-2104 |
| Mailing Address |
1515 Park Ave Columbus WI 53925-1618 |
| Practice Telephone | 9203561000 |
| Practice Fax Number | 9203560719 |
| Mailing Telephone | 9206232200 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2262 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43020200 | 05 | |
| WI | DEAN HEALTH SYSTEMS | 61266 | 01 |
| Street Address |
118 W MAPLE AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588032767 | Holly Landry | Physical Therapist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2015-09-04 |
| 1093137416 | Prairie Ridge Health, Inc. | Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2014-01-21 |
| 1336425016 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2011-10-26 |
| 1184933756 | Judy A Macdonald | Nurse Practitioner | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2010-09-30 |
| 1679633580 | Kristine Braker | Nurse Practitioner | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-12-11 |
| 1912077140 | Thomas Carl Smedberg | Orthopaedic Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-11-08 |
| 1467565978 | Family & Sports Orthopaedic Center, LLC | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1932212461 | Robert A Coe | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1366555815 | David C Barton | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1508979972 | Micheal E Ceizyk | Physical Therapist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891933354 | Elizabeth Ann Elsaesser | Physician Assistant | 130 Warren St Ste 130, Beaver Dam, WI 53916-3041 | 2009-01-21 |
| 1194073791 | Tracy L Crombie | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2012-08-29 |
| 1508187436 | Laura B Schultz | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2010-06-15 |
| 1922329861 | Mary A Woodman | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2010-06-15 |
| 1265685754 | Elizabeth Nielsen | Physician Assistant | 705 S University Ave, Ste 510, Beaver Dam, WI 53916-3081 | 2008-10-28 |
| 1811157720 | Jennifer L Klueger | Physician Assistant | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2008-06-13 |
| 1548279573 | Stacy Lynn Schmidt | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916 | 2006-08-07 |
| 1487605937 | Douglas J Cronin | Physician Assistant | 705 S University Ave, Ste 510, Beaver Dam, WI 53916-3081 | 2006-05-12 |
| 1760433189 | Brendan J Nashold | Physician Assistant | 705 S University Ave, Ste 510, Beaver Dam, WI 53916-3081 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.