Active NPI
Cole B Dolan, CRNA
- Certified Registered Nurse Anesthetist
- Tomah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 168573
- Practice address
- 501 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (608) 372-2181
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 168573 | WI | Primary |
Addresses
Primary practice location
501 Gopher Dr
Tomah, WI 54660-4513
Mailing address
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
Other practice location 1
700 West Ave S
LA Crosse, WI 54601-4783
Phone (608) 782-9760
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdolan25865@ehrdirect.mayoclinicmsg.org | ||
| Direct Messaging Address | cdolan11575@direct.monroeclinic.org | Direct | Tomah Memorial Hospital Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Wisconsin Region Inc
Practice addresses (Care Compare)
700 W Ave S
La Crosse, WI 54601-4783
Phone (608) 785-0940
800 E Blackhawk Ave
Prairie Du Chien, WI 53821-1698
Phone (608) 326-0808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168573 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients |
Locations
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
Interoperability endpoints
- cdolan25865@ehrdirect.mayoclinicmsg.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
dba Franciscan Healthcare - Sparta
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
-
dba Tomah Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Healthcare - La Crosse
- General Acute Care Hospital
- La Crosse, WI
- NPI 1801874227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1245511682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-372-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-372-2181"
}
],
"practiceLocations": [
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014783",
"country_code": "US",
"telephone_number": "608-782-9760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "COLE",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "168573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdolan25865@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "700 West Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546014783",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdolan11575@direct.monroeclinic.org",
"affiliation": "Y",
"affiliationName": "Tomah Memorial Hospital Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cdolan11575@direct.monroeclinic.org",
"address_1": "501 Gopher Dr",
"city": "Tomah",
"state": "WI",
"country_code": "US",
"postal_code": "546604513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.