WILLIAM GUNTHER MALLON CRNA NPI 1013090885

NPI Information

  • NPI: 1013090885
  • Provider Name: WILLIAM GUNTHER MALLON, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 2149 FOUND LAKE RD. BOX 625
    SAINT GERMAIN, WI
    ZIP 54558
  • Phone: (715) 542-2728

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NPI Details

William Gunther Mallon, CRNA is a nurse anesthetist certified registered in Saint Germain, WI. The provider is (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. William Gunther Mallon, CRNA NPI is 1013090885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2149 FOUND LAKE RD. BOX 625
SAINT GERMAIN, WI
ZIP 54558-625
Phone: (715) 542-2728

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/22/2010.

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
1367500000XNurse Anesthetist, Certified Registered137583-030WISCONSINNo
2367500000XNurse Anesthetist, Certified Registered470412917MICHIGANNo
3367500000XNurse Anesthetist, Certified Registered28182298AINDIANAYes

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
1200929030MEDICAIDINDIANA
2026511OTHERAANA/CRNA
3P00782471MEDICARE PININDIANA
4000000602388OTHERINDIANAANTHEM PROVIDER NUMBER
5815500S7MEDICARE PININDIANA

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: 11/21/2025

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