Watertown Anesthesiology SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WATERTOWN ANESTHESIOLOGY SC

Practice address

125 Hospital Dr
Watertown, WI 53098

Phone

(920) 262-4450

NPI assigned

Jun 17, 2006

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David J Hasler, MD

Title

Owner Secretary

Phone

(920) 262-4450

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1053356790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 WEST SCHROEDER DR",
            "address_2": "SUITE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53223",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53098",
            "telephone_number": "920-262-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN ANESTHESIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "HASLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  SECRETARY",
        "authorized_official_telephone_number": "920-262-4450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32862200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Walsh, NBC-HWC
• Jennifer Lynn Walter, LPC-IT
• Mandy Walter, RN
• Patrice Walter, OTR
• Watertown Anesthesia, LLC
• Watertown Chiropractic SC
• Watertown Emergency Physicians
• Watertown Emergency Physicians, S.C.
• Watertown Family Practice Associates S.C.
• Watertown Heart Institute SC

• Anesthesiology Physician in Watertown, WI
• Providers in Watertown, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.