RENATA B PTAK PA-C
NPI 1902955933
Physician Assistant in Glendale, WI

Active since January 09, 2007
2501 W SILVER SPRING DR, GLENDALE, WI 53209(414) 461-9250(414) 461-3553 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2020, Mar 16, 2016 (2 updates tracked since 2016).

About Renata B Ptak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENATA B PTAK PA-C (NPI 1902955933) is an individual physician assistant in Glendale, Wisconsin, licensed in Wisconsin (1779-023) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902955933
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRENATA B PTAKCredential: PA-C
Location Address2501 W SILVER SPRING DRGlendale, WI 53209-4217
Mailing Address2501 W Silver Spring DrGlendale, WI 53209-4217 · (414) 461-9250 · Fax (414) 461-3553
Fax(414) 461-3553
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
NPI 1902955933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1779-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2501 W SILVER SPRING DR, Glendale, WI 53209

Other Names 1

Professional Name (2)Renata B Ptak Physician Assistant

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2501 W SILVER SPRING DR
GLENDALE, WI 53209
Internal Medicine
2501 W SILVER SPRING DR
GLENDALE, WI 53209
Nurse Practitioner
2501 W SILVER SPRING DR
GLENDALE, WI 53209
Radiology (Diagnostic Radiology)
2501 W SILVER SPRING DR
MILWAUKEE, WI 53209
Family Medicine
2501 W SILVER SPRING DR
GLENDALE, WI 53209
Clinic/Center (Sleep Disorder Diagnostic)
2501 W SILVER SPRING DR, SUITE 5
GLENDALE, WI 53209
Internal Medicine (Pulmonary Disease)
2501 W SILVER SPRING DR
GLENDALE, WI 53209
Durable Medical Equipment & Medical Supplies
2501 W SILVER SPRING DR
MILWAUKEE, WI 53209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renata Ptak's NPI number?

The NPI number for Renata Ptak is 1902955933. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Renata B Ptak Physician Assistant.

Where is Renata Ptak located?

Renata Ptak practices at 2501 W Silver Spring Dr, Glendale, WI 53209. The listed phone number is (414) 461-9250.

What is Renata Ptak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Renata Ptak was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.