Wayne Daniel Traetow, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35044120 Issued in OH

Practice address

410 West Tenth Avenue
N429 Doan Hall
Columbus, OH 43210

Phone

(614) 293-4705

Fax

(614) 293-8153

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Osu Electrophysiology Physicians

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, OH
  • NPI 1841395639
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1285699850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183103",
            "address_2": "660 ACKERMAN 3RD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432183103",
            "telephone_number": "614-293-2150",
            "fax_number": "614-293-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WEST TENTH AVENUE",
            "address_2": "N429 DOAN HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-4705",
            "fax_number": "614-293-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAETOW",
        "first_name": "WAYNE",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35044120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Tracy Totman
• Brett Mitchell Tracy, M.D.
• Erynn Tracy
• Kristin K Tracy, C.R.N.A.
• Mallory Tracy, PHARMD, BCPS
• Durell Vincent Trago Jr., M.D.
• Killian R Trago
• Shadi Traish, MSW, LISW-S
• Danielle Rebecca Trakimas, MD
• Keisha N Trammell

• Anesthesiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.