Active NPI
Midwest Anesthesia Care Inc
Doing business as Midwest Anesthesia Care LTD
- Certified Registered Nurse Anesthetist
- Fort Madison, IA
National Provider Identifier
1568430825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MIDWEST ANESTHESIA CARE INC
- Doing business as
- Midwest Anesthesia Care LTD
- Practice address
- 5445 Avenue O
Fort Madison, IA 52627-9611 - Phone
- (319) 372-6530
- NPI assigned
- Mar 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Panther, CRNA
- Title
- Partner
- Phone
- (319) 376-2218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
5445 Avenue O
Fort Madison, IA 52627-9611
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14313 | Other | IA | BLUE CROSS OF IA |
Other names 1
- MIDWEST ANESTHESIA CARE LTD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1568430825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279611",
"telephone_number": "319-372-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ANESTHESIA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "PANTHER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "319-376-2218",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IA",
"identifier": "14313",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MIDWEST ANESTHESIA CARE LTD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.