James P Manderle (NPI# 1013905769, PAC ID# 3870697758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013905769 |
| PAC ID by PECOS | 3870697758 |
| Professional Enrollment ID | I20070403000031 |
| Full Name | James P Manderle |
| Organization Legal Name | IHC BEAVER DAM ANESTHESIA AND PAIN MANAGEMENT SERVICES LLC |
| Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Phone Number | 4142906715 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1759439219 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520076 | BEAVER DAM COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S University Ave, Beaver Dam, WI 53916-3027 | 4142906715 | IHC BEAVER DAM ANESTHESIA AND PAIN MANAGEMENT SERVICES LLC |
| Organization Legal Name | IHC BEAVER DAM ANESTHESIA AND PAIN MANAGEMENT SERVICES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucia Zdrazilova | Anesthesiology | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Frank J Podojil | Anesthesiology | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Ayobami A Adelayi | Certified Registered Nurse Anesthetist (crna) | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Craig R Smith | Certified Registered Nurse Anesthetist (crna) | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Christopher C Haese | Certified Registered Nurse Anesthetist (crna) | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Jerome B Huebsch | Anesthesiology | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Street Address |
707 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip | 53916-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa M Huber | Physician Assistant | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Bhanu Paladugu | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Lucia Zdrazilova | Anesthesiology | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Patrick A Leonberger | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Lori Claire Lee | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Joseph M Puccinelli | Orthopedic Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Marc Andrew Young | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Jennifer L Woldt | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Judy A Macdonald | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Eric R Kotal | Emergency Medicine | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mark Kluewer | Chiropractic | 1229 N Ctr St, Beaver Dam, WI 53916-1147 | |
| Jill A Rubert | Chiropractic | Rubert Chiropractic Ltd | 1229 N Ctr St, Beaver Dam, WI 53916-1147 |
| Thomas W Hyke | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Kimberly Ruth Schoenberger | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Leon S Kuhs | Psychiatry | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| James O Niemeier | Clinical Psychologist | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| Jerome Edward Tyjeski | Chiropractic | 119 E Mackie St, Beaver Dam, WI 53916-2031 | |
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Find all physicians in zip 53916 | |||
| City | BEAVER DAM |
| Zip Code | 53916 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BEAVER DAM + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.