DR. LAURA LYNN RAFTERY (NPI# 1992862551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992862551 |
| Entity Type | Individual |
| Full Name | DR. LAURA LYNN RAFTERY |
| Credential | M.D. |
| Practice Address |
721 American Ave Ste 108 Prohealth Care Regional Cancer Center Waukesha WI 53188-5071 |
| Practice Telephone | 2629282570 |
| Mailing Telephone | 2629282570 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
57928 | WI | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
00296 | NC | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
125737 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131305 | Laura S Raftery | Counselor | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 | 2012-12-10 |
| Street Address |
721 AMERICAN AVE STE 108 PROHEALTH CARE REGIONAL CANCER CENTER |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972578466 | Nihal Herath | Specialist | 721 American Ave Ste 108, Waukesha, WI 53188-5071 | 2006-02-20 |
| 1114360336 | Melissa Learned | Specialist | 721 American Ave Ste 108, Waukesha, WI 53188-5071 | 2013-04-08 |
| 1629324736 | Tatyana M Gerachshenko | Physical Medicine & Rehabilitation | 721 American Ave Ste 108, Waukesha, WI 53188-5071 | 2012-07-25 |
| 1407948763 | Peter Haan Johnson | Internal Medicine | 721 American Ave Ste 108, Prohealth Care Regional Cancer Center, Waukesha, WI 53188-5071 | 2006-09-28 |
| 1518928993 | Timothy R Wassenaar | Internal Medicine | 721 American Ave Ste 108, Prohealth Care Regional Cancer Center, Waukesha, WI 53188-5071 | 2006-03-28 |
| 1134198567 | Randy L Gehring | Neurological Surgery | 721 American Ave Ste 108, Waukesha, WI 53188-5071 | 2006-03-17 |
| 1477521573 | Jeffrey Lawrence Crecelius | Neurological Surgery | 721 American Ave Ste 108, Waukesha, WI 53188-5071 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
| 1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
| 1700851243 | Gilberto D Rodrigues | Internal Medicine | N14w23833 Stone Ridge Dr, Suite 200, Waukesha, WI 53188-1157 | 2006-02-20 |
| 1093058372 | Jonathan Kapke | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-04-04 |
| 1861657785 | Tabraiz Mohammed | Internal Medicine | N16w24131 Riverwood Dr, Uw Cancer Center At Prohealth Care, Waukesha, WI 53188-1106 | 2008-07-21 |
| 1407948763 | Peter Haan Johnson | Internal Medicine | 721 American Ave Ste 108, Prohealth Care Regional Cancer Center, Waukesha, WI 53188-5071 | 2006-09-28 |
| 1396710836 | Federico A. Sanchez | Internal Medicine | N14w23833 Stone Ridge Dr, Suite 200, Waukesha, WI 53188-1157 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
| 1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
| 1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
| 1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
| 1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
| 1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
| 1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
| 1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
| 1639259823 | Santosh Gowda | Internal Medicine | N34w23344 Hunters Ct Apt 303, Pewaukee, WI 53072-6213 | 2006-10-16 |
| 1386679959 | Michael F. Husak | Internal Medicine | 1700 W. Stout St., Rice Lake, WI 54868-5000 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.