ANESTHETISTS INC. OF WISCONSIN (NPI# 1740399500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740399500 |
| Entity Type | Organization |
| Organization Name | ANESTHETISTS INC. OF WISCONSIN |
| Practice Address |
2302 Highway 46 Deer Park WI 54007-7501 |
| Mailing Address |
2302 Highway 46 P.o. Box 159 Deer Park WI 54007-7501 |
| Practice Telephone | 7152695530 |
| Practice Fax Number | 7152695535 |
| Mailing Telephone | 7152695530 |
| Mailing Fax Number | 7152695535 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CURTIS W OLSON (PRESIDENT) |
| Authorized Official Telephone | 7152695530 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
Nursing Service Providers |
| Street Address |
2302 HIGHWAY 46 |
| City | DEER PARK |
| State | WI |
| Zip Code | 54007-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215943972 | Lisa Lynn Mcbrayer | Nurse Anesthetist, Certified Registered | 2302 Highway 46, Deer Park, WI 54007-7501 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849850 | William M Icard Jr. | Emergency Medical Technician, Basic | 1679 County Road H, Deer Park, WI 54007-7102 | 2020-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223729 | Fabienne Noreva Nelson | Behavior Technician | 116 Fillmore Ave, Deer Park, NY 11729-7004 | 2020-10-24 |
| 1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
| 1538766902 | Monique Abarca | Registered Nurse | 13 Westwood Ave, Deer Park, NY 11729-2805 | 2020-10-07 |
| 1053924290 | Melanie Kay Shaul | Doula | 316 W Bridges Rd, Deer Park, WA 99006-8174 | 2020-08-27 |
| 1245849850 | William M Icard Jr. | Emergency Medical Technician, Basic | 1679 County Road H, Deer Park, WI 54007-7102 | 2020-07-29 |
| 1447869409 | Diana Bosinski | Physical Therapy Assistant | 84 W 13th St, Deer Park, NY 11729-4018 | 2020-07-27 |
| 1639797392 | Maribel Mora | Massage Therapist | 2011 Deer Park Ave, Deer Park, NY 11729-2733 | 2020-07-09 |
| 1710505599 | Uttara Suresh | Dentist | 3702 Center St, Deer Park, TX 77536-6104 | 2020-07-08 |
| 1245858380 | Vashon R Coe | Counselor | 11 E H St Ste F, Deer Park, WA 99006-7130 | 2020-07-06 |
| 1184241960 | Princess Davis | Licensed Practical Nurse | 225 Tell Ave, Deer Park, NY 11729-7023 | 2020-06-29 |
| Find all providers in DEER PARK | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528170982 | Bonnie L Groessl | Registered Nurse | 2149 Velp Ave, Suite 205, Green Bay, WI 54303-5424 | 2006-08-31 |
| 1760618458 | Bridge To Health, LLC | Registered Nurse | 2149 Velp Ave, Suite 205, Green Bay, WI 54303-5424 | 2009-06-08 |
| 1205098605 | Marilou L Cicero | Registered Nurse | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2008-06-26 |
Please comment or provide details below to improve the information on ANESTHETISTS INC. OF WISCONSIN.
| 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.