MR. TERRY LEE WILSON (NPI# 1174671853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174671853 |
| Entity Type | Individual |
| Full Name | MR. TERRY LEE WILSON |
| Credential | CRNA |
| Practice Address |
611 Sherman Ave E Fort Atkinson WI 53538-1960 |
| Mailing Address |
4323 Fox Hills Dr Janesville WI 53546-8886 |
| Practice Telephone | 9205685000 |
| Mailing Telephone | 6087526619 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2175033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MERCYCARE | WILSOTER | 01 |
| WI | 43372200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013320555 | Terry James Wilson | Licensed Vocational Nurse | 12118 Walnut Park Xing, 1212, Austin, TX 78753-6706 | 2014-06-03 |
| 1508027558 | Terry Wilson | Massage Therapist | 641 W 119th St, Chicago, IL 60628 | 2008-06-23 |
| 1386852143 | Terry Lamont Wilson | Counselor | 3741 Stocker St Ste 210, Los Angeles, CA 90008-5109 | 2007-05-17 |
| 1124246475 | Terry Dwayne Wilson | Counselor | 3423 Melrose Rd # A, Fayetteville, NC 28304-1608 | 2007-04-23 |
| 1184611832 | Terry M Wilson | Social Worker | 211 Forest Cir, Goldsboro, NC 27530-9008 | 2005-09-28 |
| 1063056729 | Terry Dee Ann Wilson | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-11-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1558559690 | Terry Wayne Wilson | Chiropractor | 24835 La Palma Ave Ste D, Yorba Linda, CA 92887-5532 | 2007-10-12 |
| 1073609442 | Terry L Wilson | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531 | 2006-10-05 |
| 1235188301 | Terry Roger Wilson | Occupational Therapist | 920 Oliver Rd, Monroe, LA 71201-5702 | 2006-05-08 |
| Street Address |
611 SHERMAN AVE E |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515219 | Linda Ann Samson | Registered Nurse | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2005-06-01 |
| 1679119234 | Tammy Nelson | Dietitian, Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2019-11-19 |
| 1689217580 | Lisa Anne Ashwill | Dietitian, Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2019-10-23 |
| 1477036150 | Lisa Gdaniec | Physical Therapist | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2018-09-10 |
| 1316466808 | Vicki Sue Kamuchey | Occupational Therapy Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2017-09-15 |
| 1831648989 | Jonathan Michael Beck | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2016-09-30 |
| 1598144867 | Martin Okun | Dermatology | 611 Sherman Ave E, 3rd Floor, Fort Atkinson, WI 53538-1960 | 2015-05-20 |
| 1073920708 | Kristen N Burg | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2014-07-15 |
| 1588090997 | Valerie Klatt | Registered Nurse | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2013-09-17 |
| 1457791055 | Holly Crowley | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| 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 |
|---|---|---|---|---|
| 1831648989 | Jonathan Michael Beck | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2016-09-30 |
| 1073920708 | Kristen N Burg | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2014-07-15 |
| 1043512791 | Jamie L Foltz | Nurse Anesthetist, Certified Registered | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2010-12-01 |
| 1154479889 | Debra Lynn Bingham | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1134277783 | Milan Jelic | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1073661609 | Stefan J Gieryn | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1346398633 | Gregory James Foley | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-05 |
| 1588762264 | Jeffrey A Cichocki | Nurse Anesthetist, Certified Registered | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-09-20 |
| 1912018342 | Rebecca Lynn Stark-johnson | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-08-31 |
| 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 | FORT ATKINSON |
| Zip Code | 53538 |
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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.