Active NPI
Traci Renae Fritz, M.D.
- General Practice Physician
- Wauwatosa, WI
National Provider Identifier
1104090265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 64874
- Practice address
- 6100 W State St Apt 404
Wauwatosa, WI 53213-2994 - Phone
- (254) 485-9570
- Fax
- (414) 475-7706
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 64874 | WI | Primary |
Addresses
Primary practice location
6100 W State St Apt 404
Wauwatosa, WI 53213-2994
Mailing address
6100 W State St Apt 404
Wauwatosa, WI 53213-2994
Phone (254) 485-9570
Other practice location 1
19115 W Capitol Dr Ste 117
Brookfield, WI 53045-2754
Phone (262) 781-0240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104090265 | Medicaid | WI | |
| 1508830076 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64874 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zezenya Health Care S.C. | Multi-Specialty | Past | Accepting new patients |
| Healing Corner, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba ZHC Orthopedic Surgery
- Physical Medicine & Rehabilitation Physician
- Milwaukee, WI
- NPI 1427430602
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1104090265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 W STATE ST APT 404",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132994",
"telephone_number": "254-485-9570",
"fax_number": "414-475-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 W STATE ST APT 404",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132994",
"telephone_number": "254-485-9570",
"fax_number": "414-475-7706"
}
],
"practiceLocations": [
{
"address_1": "19115 W Capitol Dr Ste 117",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530452754",
"country_code": "US",
"telephone_number": "262-781-0240",
"fax_number": "262-373-0148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRITZ",
"first_name": "TRACI",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "WI",
"license": "64874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104090265",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508830076",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
- Jonathan George Frankmann, D.D.S., M.S.
- Wendy J. Freitag, PH.D.
- Margaret Josephine French
- Hailee Anna Friederick, PA-C
- Nancy Ann Fritter, RN
- Tracy K Fritz, APNP, FNPBC, PMHNP
- Froedtert & the Medical College of Wisconsin Community Physicians Inc. (Workforce Health)
- Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
- Froedtert Health Pharmacy LLC (Froedtert Pharmacy 175)
- Froedtert Health Pharmacy, LLC (Froedtert Pharmacy 400)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.