Organization Active NPI

Prairie Anesthesia Services SC

  • Certified Registered Nurse Anesthetist
  • Prairie Du Chien, WI
National Provider Identifier
1487732467
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
61903-030 Issued in WI
Legal business name
PRAIRIE ANESTHESIA SERVICES SC
Practice address
705 E Taylor St
Prairie Du Chien, WI 53821-2110
Phone
(608) 357-2000
Fax
(608) 357-2254
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Mr. Ronald F Falch, CRNANPI 1043382674
Title
Owner
Phone
(608) 326-8368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 61903-030 WI Primary

Addresses

Primary practice location

705 E Taylor St
Prairie Du Chien, WI 53821-2110

Mailing address

PO Box 338
Prairie Du Chien, WI 53821-0338
Phone (608) 357-2000

Other identifiers 2

IdentifierTypeStateIssuer
43272400MedicaidWI
0944181MedicaidIA

National Provider Directory

National Provider Directory

Locations

300 E Blackhawk Ave
Prairie du Chien, WI 53821

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1487732467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538210338",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TAYLOR ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212110",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ANESTHESIA SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "FALCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-326-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "61903-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43272400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0944181",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.