NORTHWEST WISCONSIN ANESTHESIOLOGISTS, SC (NPI# 1184646051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184646051 |
| Entity Type | Organization |
| Organization Name | NORTHWEST WISCONSIN ANESTHESIOLOGISTS, SC |
| Practice Address |
1100 N Main St Rice Lake WI 54868-1238 |
| Mailing Address |
225 S Executive Dr Brookfield WI 53005-4266 |
| Practice Telephone | 7152341515 |
| Mailing Telephone | 2627874026 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS J RAETHER (PRESIDENT) |
| Authorized Official Telephone | 7152341515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| X | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32881600 | 05 |
| Street Address |
1100 N MAIN ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242163 | Susan G Steinmetz | Occupational Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2009-10-07 |
| 1447489083 | Beth A Clark | Physical Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2009-07-03 |
| 1831337708 | Michelle R Corbin | Occupational Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2009-01-29 |
| 1750533121 | Andrea Elizabeth Doty | Occupational Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-10-16 |
| 1215194907 | Lakeview Medical Center, Inc. of Rice Lake | Speech-Language Pathologist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-05-20 |
| 1992972426 | Cheri Fox Messick | Speech-Language Pathologist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-05-14 |
| 1821260522 | Lakeview Medical Center | Non-Pharmacy Dispensing Site | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-04-02 |
| 1912170606 | Dorian L Glaze | Speech-Language Pathologist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-04-02 |
| 1750588331 | Mildred Jean Seabold | Dietitian, Registered | 1100 N Main St, Rice Lake, WI 54868-1238 | 2007-06-28 |
| 1740305374 | Karla Oehlke Arrigoni | Dietitian, Registered | 1100 N Main St, Rice Lake, WI 54868-1238 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788707 | Philip S. Henkel | Anesthesiology | 2256 18th St, Rice Lake, WI 54868-9537 | 2005-11-25 |
| 1073596052 | John K Brendel Jr. | Anesthesiology | 2021 Cenex Dr Unit J, Rice Lake, WI 54868-1892 | 2005-11-23 |
| 1982608352 | Jeffrey J Anderegg | Anesthesiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2005-06-13 |
| 1588731798 | Douglas J Raether | Anesthesiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2006-11-30 |
| 1528015161 | Mark A. Weber, M.d., S.c. | Anesthesiology | 1100 N Main St, Rice Lake, WI 54868-1238 | 2006-05-28 |
| 1487601274 | Philip S. Henkel, M.d., S.c. | Anesthesiology | 1100 N Main St, Rice Lake, WI 54868-1238 | 2006-05-28 |
| 1700833589 | Jeffery J. Anderegg M.d., S.c. | Anesthesiology | 1100 N Main St, Rice Lake, WI 54868-1238 | 2006-05-27 |
| 1609822048 | Douglas J. Raether, M.d., S.c. | Anesthesiology | 1100 N Main St, Rice Lake, WI 54868-1238 | 2006-05-26 |
| 1134103146 | Mark A Weber | Anesthesiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619431756 | Vision Anesthesia, Sc | Anesthesiology | 10200 W Innovation Dr Ste 700, Milwaukee, WI 53226-4827 | 2019-01-23 |
| 1699294520 | Anthony R Mars | Anesthesiology | 303 Mallard Way, Marinette, WI 54143-3370 | 2017-09-12 |
| 1861912107 | Somnos, Sc | Anesthesiology | 3305 N Ballard Rd Ste A, Appleton, WI 54911-9001 | 2017-06-27 |
| 1154850972 | Polykarpos Anesthesia LLC | Anesthesiology | 8400 Lakeview Pkwy Ste 800, Pleasant Prairie, WI 53158-5819 | 2017-06-06 |
| 1962866038 | Julie Frances Harvey | Anesthesiology | 9156 W Michigan St, Milwaukee, WI 53226-4574 | 2016-04-05 |
| 1962898742 | Brian Barreda | Anesthesiology | 5755 Monticello Way, Fitchburg, WI 53719-1603 | 2015-04-08 |
| 1962807982 | Robert Sanders | Anesthesiology | 1002 Willow Ln, Madison, WI 53705-1137 | 2014-11-03 |
| 1649606898 | Alan Herbert Goldberg | Anesthesiology | 1800 N Prospect Ave, Apt. 11c, Milwaukee, WI 53202-3070 | 2013-09-19 |
| 1235471699 | John Joseph Vondrell | Anesthesiology | 2025 Burnwood Ct, Brookfield, WI 53045-4814 | 2013-03-25 |
| 1497008205 | Boyi Gao | Anesthesiology | 6401 Offshore Dr, Madison, WI 53705-4387 | 2012-10-17 |
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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.