RENATA B PTAK (NPI# 1902955933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902955933 |
| Entity Type | Individual |
| Full Name | RENATA B PTAK |
| Other Name | RENATA B PTAK |
| Credential | PA-C |
| Practice Address |
2501 W Silver Spring Dr Glendale WI 53209-4217 |
| Practice Telephone | 4144619250 |
| Practice Fax Number | 4144613553 |
| Mailing Telephone | 4144619250 |
| Mailing Fax Number | 4144613553 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1779-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2501 W SILVER SPRING DR |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170045 | Brittany L Schlicht | Nurse Practitioner | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2019-11-29 |
| 1114326758 | Byung Geun Kim | Nurse Practitioner | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2014-08-20 |
| 1598180002 | Mobile Physician Clinics, LLC | Health Maintenance Organization | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2014-02-20 |
| 1588955041 | Mahita L Gone | Registered Nurse | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2011-05-02 |
| 1164663381 | Linda Rebekah Rogow | Family Medicine | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2009-03-18 |
| 1609063841 | Medpoint Physical Therapy | Internal Medicine | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2007-10-02 |
| 1255538195 | Digitrace Care Services, Inc | Clinic/Center | 2501 W Silver Spring Dr, Suite 5, Glendale, WI 53209-4217 | 2007-07-02 |
| 1821217860 | Medpoint Urgent Care, LLC | Clinic/Center | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2007-04-25 |
| 1972672533 | Medpoint Family Care Center | Internal Medicine | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2006-11-07 |
| 1699844209 | Michael J Ehrmann | Chiropractor | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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 |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.