The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1013090885 |
NPI Entity Type | Individual |
Provider Name | CRNA William Gunther Mallon |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 2149 Found Lake Rd. Box 625, Saint Germain, WI, US |
Provider Mailing Address | Po Box 625, Saint Germain, WI, US, 545580625 |
Is Sole Proprietor? | Yes |
Taxonomy Code | |
Taxonomy Name | Certified Registered Nurse Anesthetist |
Classification | |
Group | |
License No. | 28182298A |
License State | IN |
Description | (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. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
137583-030 | WI | No | |||
470412917 | MI | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
000000602388 | IN | ANTHEM PROVIDER NUMBER | 01 |
026511 | AANA/CRNA | 01 | |
200929030 | IN | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Timothy H Mcdonough Individual |
600 Highland Ave |
||
PA-C Jennifer Parnell Individual |
1300 South Drive |
||
Dean Health Systems, Inc Organization |
1821 S Stoughton Rd |
||
DDS Katherine Anne Knabe Individual |
5337 W Grande Market Dr |
||
PA(ASCP) Amanda Katsma Individual |
5000 W National Ave |
||
MRS. APNP, PMHNP-BC Tilly Burroughs Individual |
1114 56th St |
||
Shong Chang Individual |
10 Tower Dr |
||
Golden Medical Transportation Llc Organization |
1740 E Mason St # 5 |
||
LCSW, SAC-IT Alexandra Duvall Individual |
540 College St |
||
D-PT Rachel Ann Lohrengel Individual |
744 S Webster Ave |
||
LPC Rebecca A Richards Individual |
820 Washington St |
||
DR. D.O. Meredith Caroline Schaffner Individual |
1836 South Ave |
||
Rebecca Fafard Individual |
702 W Main St |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
611 Sherman Ave E |
||
MRS. LPC Holly L Doughty Individual |
120 E 4th St |
||
Fort Memorial Hospital Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
500 Mcmillen St |
||
Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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