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CENTRAL WISCONSIN ANESTHESI NPI 1013006816


NPI Information

NPI: 1013006816
Provider Name: CENTRAL WISCONSIN ANESTHESI
Classification: Anesthesiology - 207L00000X
Entity Type: Organization
Address:
225 MEMORIAL DR
BERLIN, WI
ZIP 54923
Phone: (920) 361-5538
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CENTRAL WISCONSIN ANESTHESI is an anesthesiology in Berlin, WI. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. CENTRAL WISCONSIN ANESTHESI NPI is 1013006816. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

225 MEMORIAL DR
BERLIN, WI
ZIP 54923-243
Phone: (920) 361-5538
Fax: (920) 361-5499

The provider's authorized official is Carolyn J Domke .
The authorized official title is Office Manager and has the following contact phone number (920) 361-5538.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2367500000XNurse Anesthetist, Certified RegisteredNo
3207L00000XAnesthesiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R40168MEDICARE UPIN
2S26146MEDICARE UPIN
343419700MEDICAIDWISCONSIN
4F58640MEDICARE UPINWISCONSIN
5R40513MEDICARE UPIN
6000026095OTHERWISCONSINMEDICARE
7000021415OTHERWISCONSINMEDICARE
8S26176MEDICARE UPIN
9S36296MEDICARE UPIN
10R79414MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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