METRO MILWAUKEE ANESTHESIA ASSOCIATES SC (NPI# 1609130228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609130228 |
| Entity Type | Organization |
| Organization Name | METRO MILWAUKEE ANESTHESIA ASSOCIATES SC |
| Practice Address |
17495 W Capitol Dr Brookfield WI 53045-2059 |
| Mailing Address |
21120 Washington Pkwy Frankfort IL 60423-3112 |
| Practice Telephone | 4147610981 |
| Practice Fax Number | 4147611614 |
| Mailing Telephone | 8154628470 |
| Mailing Fax Number | 8154628471 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | DANIEL BORVAN (OWNER) |
| Authorized Official Telephone | 8154628470 |
| 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 |
17495 W CAPITOL DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871694539 | Robert William Miclot Jr. | Chiropractor | 17495 W Capitol Dr, Brookfield, WI 53045 | 2006-09-26 |
| 1194200543 | Kamaldeep S Toor | Optometrist | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2018-10-02 |
| 1790262442 | Dolores Ann Gauthier | Hearing Instrument Specialist | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2018-07-25 |
| 1376039842 | Megan Marie Fabisch | Optometrist | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2018-07-07 |
| 1750824959 | Mary Ellen Teclaw | Optometrist | 17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 | 2016-11-21 |
| 1598032328 | Great Midwest Pain Specialists, S.c. | Anesthesiology | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2011-11-22 |
| 1629356423 | Great Midwest Medical, Inc. | Clinic/Center | 17495 W Capitol Dr, Unit K, Brookfield, WI 53045-2059 | 2011-07-27 |
| 1497063101 | Accuquest Hearing Center | Hearing Instrument Specialist | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1801350632 | Anne M Hollandsworth | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-25 |
| 1245704477 | Dana J Wilson | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-22 |
| 1043788870 | Thomas M Nigro Jr. | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-11-09 |
| 1891232625 | Whitney Lyles | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2017-01-31 |
| 1215471156 | Murat Calikan | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2016-12-12 |
| 1598005969 | James B Sweatt | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2013-02-22 |
| 1689811929 | General John J Pershing Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-01-08 |
| 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 | BROOKFIELD |
| Zip Code | 53045 |
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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.