MIDWEST ALLIANCE SERVICES LLC (NPI# 1336612795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336612795 |
| Entity Type | Organization |
| Organization Name | MIDWEST ALLIANCE SERVICES LLC |
| Practice Address |
800 N. 1st St. Wausau WI 54403 |
| Mailing Address |
5261 Sandy Loop Rhinelander WI 54501 |
| Practice Telephone | 7152618500 |
| Mailing Telephone | 5072061680 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | MR. THOMAS DAVID BOOSTROM (CO-OWNER) |
| Authorized Official Telephone | 5072061680 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 N. 1ST ST. |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| 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 |
|---|---|---|---|---|
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1598916199 | Rebecca Lynn Schmitz | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2008-10-02 |
| 1760654842 | Julie Ann Wilcox | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd., Suite 211, Wausau, WI 54401 | 2008-03-28 |
| 1104821651 | Michael J Hein | Nurse Anesthetist, Certified Registered | 411 Westwood Dr, Wausau, WI 54401-4152 | 2005-06-20 |
| 1467009282 | Anson Mcquigg | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-26 |
| 1447807086 | Kelly Jonathon Douck | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-19 |
| 1174099634 | Shanna Badje | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2018-10-22 |
| 1346768009 | James Kenneth Harris | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-09-01 |
| 1255878237 | Jonathan A Levin | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-27 |
| 1013453497 | Elliott Adent | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-10 |
| Find all providers in WAUSAU | ||||
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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.