Joan a. Traver,MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOAN A. TRAVER,MD

Practice address

10539 Applewood Rd
Sister Bay, WI 54234-9004

Phone

(920) 854-4154

Fax

(920) 854-6826

NPI assigned

Apr 6, 2007

Organization subpart

No

Name

Dr. Joan A Traver, MD

Title

Owner

Phone

(920) 854-4154

• Partners In Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2008.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114049202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10539 APPLEWOOD RD",
            "address_2": "PO BOX 167",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349004",
            "telephone_number": "920-854-4154",
            "fax_number": "920-854-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10539 APPLEWOOD RD",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349004",
            "telephone_number": "920-854-4154",
            "fax_number": "920-854-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN A. TRAVER,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TRAVER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-854-4154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners In Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Fritschka, RPH
• Jennifer CS Gaddes, DPT
• Henry Edward Guzman, DPT
• Richard L. Hecker, DPM
• Melissa Lynn Jilot, APNP
• John E Ludwigsen DDS LTD
• Rory Michael Johnson, MD
• Elizabeth Ann Jorgenson, D.C.
• Krasimira K Kalcheva
• Krista Lee Keck, PT

• All providers in Sister Bay, WI
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.