JAMES P MANDERLE (NPI# 1013905769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905769 |
| Entity Type | Individual |
| Full Name | JAMES P MANDERLE |
| Credential | MD |
| Practice Address |
130 2nd St Ste. A107 Neenah WI 54956-2883 |
| Mailing Address |
804 Scott Nixon Memorial Dr Augusta GA 30907-2464 |
| Practice Telephone | 9207293332 |
| Mailing Telephone | 9207293332 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 122034 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 2ND ST STE. A107 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
| 1528673555 | Katelyn Calaguan Algas | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-09-15 |
| 1275150328 | Laura Kathryn Neubert | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-07-05 |
| 1922623487 | Megan Marie Mcnally | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-06-10 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1285256677 | Paige Koerperich | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-08 |
| 1376164194 | Michelle K Scharine | Registered Nurse | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-04 |
| 1114552080 | Jessica Mcdonald | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2020-03-11 |
| 1659911329 | Julia A Stoffel | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-01-10 |
| 1497309884 | Annalise Kelsey | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2019-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
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| 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 |
|---|---|---|---|---|
| 1285819250 | Julie A. Wilcox | Nurse Anesthetist, Certified Registered | 1731 Dublin Trl Apt 77, Neenah, WI 54956-1590 | 2008-01-08 |
| 1427665504 | Hillary Rollins | Nurse Anesthetist, Certified Registered | 200 Theda Clark Medical Plz, Neenah, WI 54956-2721 | 2020-09-23 |
| 1811343668 | Matthew Behnke | Nurse Anesthetist, Certified Registered | 130 2nd St, Suite A107, Neenah, WI 54956-2883 | 2016-05-11 |
| 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 |
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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.