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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
40525-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34234000 | 05 |
| Street Address |
565 MILWAUKEE AVE SUITE 2-C |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1254 |
| 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 |
| 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 Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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] |
| 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 | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on TRACI A. PURATH.
| 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.