Active NPI
New Anesthesia
- Critical Access Hospital
- Menasha, WI
National Provider Identifier
1104953090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 054142
- Legal business name
- NEW ANESTHESIA
- Practice address
- 1236 Stillmeadow LN
Menasha, WI 54952-8920 - Phone
- (920) 450-6172
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra S John, CRNA, MS
- Title
- Crna
- Phone
- (920) 450-6172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 054142 | WI | Primary |
Addresses
Primary practice location
1236 Stillmeadow LN
Menasha, WI 54952-8920
Mailing address
1236 Stillmeadow LN
Menasha, WI 54952-8920
Phone (920) 450-6172
Other names 1
- Bellin
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Appleton, WI
- NPI 1639304736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104953090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 STILLMEADOW LN",
"city": "MENASHA",
"state": "WI",
"postal_code": "549528920",
"telephone_number": "920-450-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 STILLMEADOW LN",
"city": "MENASHA",
"state": "WI",
"postal_code": "549528920",
"telephone_number": "920-450-6172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "920-450-6172",
"authorized_official_credential": "CRNA, MS"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "WI",
"license": "054142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bellin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.