PETER DAVID BLOCHOWICZ (NPI# 1669784112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669784112 |
| Entity Type | Individual |
| Full Name | PETER DAVID BLOCHOWICZ |
| Credential | CRNA |
| Practice Address |
3801 Spring St Racine WI 53405-1667 |
| Mailing Address |
402 19th St S La Crosse WI 54601-5023 |
| Practice Telephone | 2626874011 |
| Mailing Telephone | 4144301355 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 139181-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3801 SPRING ST |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115787 | Mark A. Pelton | Pharmacist | 3801 Spring St, Racine, WI 53405-1667 | 2005-06-27 |
| 1528685252 | Tanya Higgins | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405 | 2020-06-29 |
| 1033583190 | Jennifer Scidmore | Physician Assistant | 3801 Spring St, Racine, WI 53405 | 2015-11-30 |
| 1265774715 | Erin Cecelia Siegel | Internal Medicine | 3801 Spring St, Racine, WI 53405 | 2013-03-22 |
| 1578866448 | Courtney Brooke Hoffman | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-12-14 |
| 1740595032 | Renate A Villarreal | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2010-08-11 |
| 1154651115 | Jeffrey Thomas Vaughan Kroeger | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-13 |
| 1467782748 | Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-08 |
| 1104058528 | Matthew T Czerniak | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2009-08-18 |
| 1003041070 | Jane Collins | Dietitian, Registered | 3801 Spring St, Racine, WI 53405-1667 | 2009-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
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| 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 |
|---|---|---|---|---|
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1528685252 | Tanya Higgins | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405 | 2020-06-29 |
| 1578866448 | Courtney Brooke Hoffman | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-12-14 |
| 1154651115 | Jeffrey Thomas Vaughan Kroeger | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-13 |
| 1467782748 | Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-08 |
| 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 |
| 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 |
| 1336489418 | Tyler G. Higginson, Crna, LLC | Nurse Anesthetist, Certified Registered | 5295 Ivy Ln, Oshkosh, WI 54904-9528 | 2013-02-26 |
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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.