Garner Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

171073 Issued in WI

Legal business name

GARNER ANESTHESIA SERVICES LLC

Practice address

254 E Marquette St
Berlin, WI 54923-1298

Phone

(262) 352-4521

NPI assigned

Nov 14, 2014

Last updated

Nov 14, 2014By 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

Shane Garner, CRNANPI 1457612640

Title

President

Phone

(262) 352-4521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

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.

• Shane D Garner, CRNA

  • Certified Registered Nurse Anesthetist
  • Ripon, WI
  • NPI 1457612640

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Travis J Sullivan, CRNA

  • Certified Registered Nurse Anesthetist
  • West Allis, WI
  • NPI 1881950350

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1285030452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E MARQUETTE ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E MARQUETTE ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231298",
            "telephone_number": "262-352-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-352-4521",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "171073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kae Fitzgerald, PTA
• Jason Flynn, PHARMD
• Fox River Dental Associates SC
• Fox Valley Hematology & Oncology, S.C.
• Julie R Fredrick, APNP
• Robert B. Geller, MD
• Micheal Dean Gerber, OD
• Glenn F Devries (Berlin Family Foot Care Clinic)
• Susan Marie Good, PT
• Kirsten Elizabeth Grove, DO

• Certified Registered Nurse Anesthetist in Berlin, WI
• Providers in Berlin, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.