BRADLEY THOMAS WAGNER


Address: 3314 Leyton Ln, Madison, WI 53713-3407
Phone: 6082196002

BRADLEY THOMAS WAGNER (NPI# 1043581770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043581770
Entity Type Individual
Full Name BRADLEY THOMAS WAGNER
Credential CRNA
Practice Address 3314 Leyton Ln
Madison
WI 53713-3407
Practice Telephone 6082196002
Enumeration Date 2012-01-26
Last Update Date 2019-10-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 190070-30 WI Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 3314 LEYTON LN
City MADISON
State WI
Zip Code 53713-3407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508406760 Diana Kay Woodruff Registered Nurse Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 2020-01-15
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1518501329 Erica D Anderson Counselor 1125 W Badger Rd Apt 6, Madison, WI 53713 2019-11-05
1942799739 Emily Natera Counselor 128 E. Olin Ave., Ste. 100, Madison, WI 53713 2018-05-07
1295255644 Renee Denise Wilberg Counselor 122 E. Olin Avenue, Madison, WI 53713 2017-06-26
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1124570841 Shirley Norman-johnson Licensed Practical Nurse 115 East Badger Rd, Suite A, Madison, WI 53713 2016-10-28
1629525613 Katherine Simons Melde Nurse Practitioner 2222 S Park St Ste 210, Madison, WI 53713 2016-09-07
1013301779 Bio-medical Applications of Wisconsin, Inc. Clinic/Center 2840 Index Rd., Madison, WI 53713 2015-03-20
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407478209 Laura Polk Phillips Nurse Anesthetist, Certified Registered 125 Stone Creek Dr, Madison, MS 39110-5058 2020-05-14
1912447913 Emily R Stewart Nurse Anesthetist, Certified Registered 1994 Gallatin Pike N # 102, Madison, TN 37115-2026 2017-02-24
1053790972 Rest Assured Anesthesia Services LLC Nurse Anesthetist, Certified Registered 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 2015-05-26
1902295124 William George Turk Nurse Anesthetist, Certified Registered 112 Riverchase Blvd, Madison, TN 37115-2031 2015-01-12
1336445329 Courtney Mcguigan Nurse Anesthetist, Certified Registered 41 Edinburgh Ln, Madison, CT 06443-3411 2011-02-08
1841509445 Tabatha Jo Berry Nurse Anesthetist, Certified Registered 420 Throckmorton Rd, Madison, NC 27025-7940 2010-09-29
1538497573 John Christopher Simmons Nurse Anesthetist, Certified Registered 159 Seville Way, Madison, MS 39110-8171 2009-12-03
1821166943 Therese Marie Donnelly Nurse Anesthetist, Certified Registered 76 Genesee Lane, Madison, CT 06443 2006-11-30
1659333201 Michael G Landgraf Nurse Anesthetist, Certified Registered 20 Park Street, Ste #360, Madison, WI 53715 2006-04-06
1043286099 Wilma K Gillis Nurse Anesthetist, Certified Registered 7 Fuller Dr, Madison, WI 53704 2006-02-28
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City MADISON
Zip Code 53713

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Dataset Information

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.

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