TRACI A. PURATH


Address: 565 Milwaukee Ave, Suite 2-c, Burlington, WI 53105-1254
Phone: 2626945000

TRACI A. PURATH (NPI# 1891716700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891716700
Entity Type Individual
Full Name TRACI A. PURATH
Credential M.D.
Practice Address 565 Milwaukee Ave
Suite 2-c
Burlington
WI 53105-1254
Mailing Address 5244 Zachary Dr
Mount Pleasant
WI 53403-9795
Practice Telephone 2626945000
Practice Fax Number 2626614606
Mailing Telephone 2626945000
Mailing Fax Number 2626614606
Enumeration Date 2006-07-23
Last Update Date 2014-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
40525-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 34234000 05

Office Location

Street Address 565 MILWAUKEE AVE
SUITE 2-C
City BURLINGTON
State WI
Zip Code 53105-1254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538507603 Purath Headache & Neurology, S.c. Psychiatry & Neurology 565 Milwaukee Ave, Burlington, WI 53105-1254 2013-06-11
1306079223 Burlington Behavioral Health, LLC Social Worker 565 Milwaukee Ave, Suite 3c, Burlington, WI 53105-1254 2009-08-26
1003825142 Connie Phillips Crowder Social Worker 565 Milwaukee Ave, Suite 3c, Burlington, WI 53105-1254 2006-08-07
1912916065 Donal L Crowder Psychologist 565 Milwaukee Ave, Suite 3c, Burlington, WI 53105-1254 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574288 Wisconsin Pain Management Specialists, LLC Pain Medicine 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 2018-07-09
1952845679 Jennifer Vozel Registered Nurse 40036 Bloomfield Rd, Burlington, WI 53105 2016-12-14
1356884613 Labadie Family Dentistry, S.c. Clinic/Center 5019 Mormon Rd., Burlington, WI 53105 2016-11-18
1043654288 Maureen Ann Mcnulty Acupuncturist 148 East State Street, Suite A, Burlington, WI 53105 2013-04-18
1003166349 Jessica Robinson Licensed Practical Nurse 7656 Highland Ave, Burlington, WI 53105 2012-09-13
1063677334 Douglas Armin Wild Sr. Dentist 2545 Partridge Wds. Ct., Burlington, WI 53105 2008-07-25
1346408945 William Henry Basil Dentist 222 Adams St, Burlington, WI 53105 2008-05-30
1912108689 Debra Jean Studey Leffelman Midwife, Lay 5617 Spring Valley Rd., Burlington, WI 53105 2007-05-30
1215142955 Michelle Marie Mehring Licensed Practical Nurse 541 Kearney Rd, Burlington, WI 53105 2007-05-14
1003982802 Alan Dean Meike Chiropractor 196 W Chestnut Street, Burlington, WI 53105 2006-11-27
Find all providers in zip 53105

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659722593 Arfeen Geriatric Care Pllc Psychiatry & Neurology 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 2016-06-22
1952796559 John Steele Taylor Jr. Psychiatry & Neurology University of Vermont College of Medicine, 89 Beaumont Drive, Given D401, Burlington, VT 05405-0001 2015-03-31
1407091366 Andrew Jay Solomon Psychiatry & Neurology 1 South Prospect St., Neurology, Burlington, VT 05403 2008-12-08
1720295124 Doreen Tam Ho Psychiatry & Neurology Lahey Clinical Medical Ctr, 41 Mall Road, Burlington, MA 01805-0001 2007-05-16
1215955430 Peter Matthias Bingham Psychiatry & Neurology 110 Colchester Ave, East Pavilon, Level 4, Burlington, VT 05401-1473 2006-07-17
1174581516 Gregory L. Holmes Psychiatry & Neurology 111 Colcher Ster Avenue, Patrick 5-cnl, Burlington, VT 05401 2006-05-03
1225018906 Katherine Ann Wayman Psychiatry & Neurology 89 S Williams St, Burlington, VT 05401-3405 2006-01-19
1235130782 Anastasia H Fischer Psychiatry & Neurology 709 Spring Valley Rd, Burlington, WI 53105-7614 2005-08-09
1043674666 Lisa Marie Arnold Psychiatry & Neurology 111 Colchester Ave, Burlington, VT 05401-1473 2016-04-09
1609238823 Kylie A Abe Psychiatry & Neurology 1 S Prospect St, Burlington, VT 05401-3456 2016-03-26
Find all providers in BURLINGTON

Competitor

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City BURLINGTON
Zip Code 53105

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Dataset Information

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.

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