MELISSA NICOLE DATTALO (NPI# 1578705067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578705067 |
| Entity Type | Individual |
| Full Name | MELISSA NICOLE DATTALO |
| Credential | MD, MPH |
| Practice Address |
2880 University Ave Madison WI 53705-3644 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082637740 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
60700-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 055690400 | 05 |
| Street Address |
2880 UNIVERSITY AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393769 | Diane L Sippel | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2005-11-17 |
| 1376026492 | Rebecca Edwards Koslov | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2018-09-14 |
| 1619489267 | Zachary C. Zugin | Counselor | 2880 University Ave, Madison, WI 53705-3644 | 2017-11-03 |
| 1548793144 | Jessica Lindsey Vaughan | Pediatrics | 2880 University Ave, Madison, WI 53705-3644 | 2017-04-10 |
| 1649728411 | Maria Standiford | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2016-09-21 |
| 1578912077 | Margaret Shelley Powell | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2016-06-07 |
| 1841647302 | Brittany Galusha | Internal Medicine | 2880 University Ave, Madison, WI 53705 | 2016-05-15 |
| 1073975322 | Meisha Raven | Ophthalmology | 2880 University Ave, Madison, WI 53705-3644 | 2016-03-25 |
| 1063897163 | Karla K Wethal | Physician Assistant | 2880 University Ave, Madison, WI 53705-3644 | 2015-07-30 |
| 1306228796 | Cynthia Carlson | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2015-06-23 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045702 | Maureen Bruns | Internal Medicine | 3054 Maple Grove Dr, Madison, WI 53719-1912 | 2015-06-12 |
| 1952554966 | William Jerold Hisgen | Internal Medicine | 1215 Garfield St, 1215 Garfield St., Madison, WI 53711-2215 | 2008-11-04 |
| 1740717198 | Floreta Shapiro | Internal Medicine | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-8255 | 2017-05-16 |
| 1639597099 | Shenikqua Bouges | Internal Medicine | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2014-04-02 |
| 1306164306 | Alexis M Eastman | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2010-05-14 |
| 1225293251 | Elizabeth N Chapman | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2008-07-18 |
| 1790985141 | Gerald T Pankratz | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2007-07-24 |
| 1104873371 | Mihai C Teodorescu | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2006-05-31 |
| 1104870666 | Cynthia M. Carlsson | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2006-05-20 |
| 1396799094 | Amna B. Buttar | Internal Medicine | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2006-05-19 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on MELISSA NICOLE DATTALO.
| 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.