Active NPI
Panna Ashok Codner, MD
- Surgical Critical Care Physician
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 42436
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Nov 7, 2006
- Last updated
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A87596 | CA | |
| Surgical Critical Care Physician | 2086S0102X | 48119 | MN | |
| Surgical Critical Care Physician | 2086S0102X | 42436 | WI | Primary |
| Surgical Critical Care Physician | 2086S0102X | 88834 | OH | |
| Trauma Surgery Physician | 2086S0127X | 42436 | WI |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 1
9200 W Wisconsin Ave
Trauma and Critical Care Surgery
Milwaukee, WI 53226-3522
Phone (414) 805-8623
Other practice location 2
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34687900 | Medicaid | WI | |
| 1356410898 | Medicaid | WI |
Other names 1
- Panna Ashok Dhond
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcodner437921@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | pcodner857754@direct.gundersenhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Wisconsin School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
4022 Birch Ave
Madison, WI 53711-1605
Phone (845) 702-2711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87596 | CA | MD | Surgical Critical Care Physician |
| 48119 | MN | MD | Surgical Critical Care Physician |
| 88834 | OH | MD | Surgical Critical Care Physician |
| 42436 | WI | MD | Surgical Critical Care Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
123 Hospital Dr
Ste 2000
Watertown, WI 53098
Phone (920) 206-3042
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- pcodner857754@direct.emplifyhealth.org
Organizations & group practices 15
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 Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
dba Aspirus Wittenberg Clinic
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1356410898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "Trauma and Critical Care Surgery",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-8623",
"fax_number": "414-805-8641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-260-2976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CODNER",
"first_name": "PANNA",
"middle_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A87596",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MN",
"license": "48119",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WI",
"license": "42436",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OH",
"license": "88834",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WI",
"license": "42436",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34687900",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356410898",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcodner437921@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pcodner437921@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcodner857754@direct.gundersenhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "1836 South Ave",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546015429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PANNA",
"last_name": "DHOND",
"middle_name": "ASHOK",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.