Glendale Anesthesia Associates

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GLENDALE ANESTHESIA ASSOCIATES

Practice address

575 West River Woods Parkway
Glendale, WI 53212

Phone

(414) 961-6700

Fax

(414) 961-6727

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Wenniger Niedfeldt, MD

Title

President

Phone

(414) 365-3210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy R Cooper, MD

  • Anesthesiology Physician
  • Green Bay, WI
  • NPI 1033192943
  NPD (past)
• John K Hur, M.D.

  • Anesthesiology Physician
  • Brookfield, WI
  • NPI 1255314076
  NPD (past)
• Kristi L Kanitz, M.D.

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1285617746
  NPD (past)
• Jean Anne Leininger, MD

  • Anesthesiology Physician
  • Menomonee Falls, WI
  • NPI 1366489767
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1184648453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 WEST SCHROEDER DRIVE",
            "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": "575 WEST RIVER WOODS PARKWAY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-961-6700",
            "fax_number": "414-961-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "NIEDFELDT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WENNIGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-365-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32810600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen J. Gill, PH.D.
• Michael H Gilman, D.O.
• Alyssa Gilster, APSW
• Gaelyn R Gingery
• Glen Haven Counseling Clinic
• Glendale Care and Rehab Center LLC (Complete Care at Glendale West)
• Glendale Dental LLC
• Glendale Optimal Dental Care, Inc.
• Glendale Prescription Center Inc (MD Custom RX)
• Glendale Wi Opco LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.