Anesthesia Services of the Fox Valley, S.C.

Organization Active NPI Certified Registered Nurse Anesthetist · Oshkosh, WI

NPI 1134585508 · NPPES record last updated Jan 14, 2016

Key facts

NPI
1134585508
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
ANESTHESIA SERVICES OF THE FOX VALLEY, S.C.
Practice address
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone
(920) 223-1941
NPI assigned
Jan 14, 2016
Organization subpart
No

Authorized official

Name
Michael Nigl, RN/BSN
Title
Practice Manager
Phone
(920) 223-1941

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Anesthesia Services of the Fox Valley SC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X Yes

Addresses

Primary practice location

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Mailing address

926 Roosevelt St
Kaukauna, WI 54130-1660
Phone (920) 716-3272

Other identifiers

IdentifierTypeStateIssuer
175603OtherWIRN LICENSE

Other providers in Oshkosh, WI

All providers in Oshkosh, WI · Certified Registered Nurse Anesthetist in Wisconsin

Sources for this page

Verify at the official NPI Registry.