WILLIAM GUNTHER MALLON (NPI# 1013090885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013090885 |
| Entity Type | Individual |
| Full Name | WILLIAM GUNTHER MALLON |
| Credential | CRNA |
| Practice Address |
2149 Found Lake Rd. Box 625 Saint Germain WI 54558-0625 |
| Mailing Address |
Po Box 625 Saint Germain WI 54558-0625 |
| Practice Telephone | 7155422728 |
| Mailing Telephone | 7155422728 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28182298A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 470412917 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 137583-030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000602388 | 01 |
| AANA/CRNA | 026511 | 01 | |
| IN | 200929030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635811 | William Kinney Mallon Jr. | Emergency Medicine | Stony Brook Medicine Dept of Emergency, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2006-06-09 |
| 1558737916 | William Mallon IIi | Counselor | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2015-08-19 |
| 1578982716 | William Mallon | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Montefiore Medical Center - Dept of Radiology, Bronx, NY 10467-2401 | 2014-04-15 |
| 1114976479 | William J. Mallon | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-05-06 |
| 1366437048 | William James Mallon | Orthopaedic Surgery | 120 William Penn Plz, Durham, NC 27704-2150 | 2005-09-19 |
| Street Address |
2149 FOUND LAKE RD. BOX 625 |
| City | SAINT GERMAIN |
| State | WI |
| Zip Code | 54558-0625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
| 1730207879 | Newcap, Inc. | Clinic/Center | 226 Highway 70 E, St. Germain, WI 54558 | 2007-03-27 |
| 1932161395 | Kayla Marie Mcfadden | Registered Nurse | 215 Sunset Blvd, St.germaine, WV 54558 | 2006-04-03 |
| 1225272917 | Gina Marie Schmolze | Licensed Practical Nurse | 1567 Golden Retreat Dr, Saint Germain, WI 54558-0097 | 2009-04-24 |
| 1740421668 | Adam C Schenkenberg | Licensed Practical Nurse | 1634 Bigwoods Dr, Saint Germain, WI 54558-0271 | 2009-03-24 |
| 1063577666 | Stephen Joseph Borak | Chiropractor | 190 Highway 70, Saint Germain, WI 54558-0665 | 2006-12-26 |
| 1659656619 | Craig Richard Smith | Pharmacist | 7844 Grimes Pine Ln, Saint Germain, WI 54558-8735 | 2011-10-20 |
| 1215444260 | New Horizons Counseling and Family Services, LLC | Social Worker | 306 Highway 70 E, Saint Germain, WI 54558-8800 | 2017-12-29 |
| 1003140609 | Frank Charles Patin | Counselor | 306 Hwy 70 E, Saint Germain, WI 54558-8800 | 2009-09-29 |
| 1689812422 | Impact Counseling Services, LLC | Clinic/Center | 306 State Highway 70 E, Saint Germain, WI 54558-8800 | 2009-02-02 |
| Find all providers in zip 54558 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GERMAIN |
| Zip Code | 54558 |
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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.