Organization Active NPI

White Anesthesia Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Madison, WI
National Provider Identifier
1700046323
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108770-030 Issued in WI
Legal business name
WHITE ANESTHESIA SERVICES, INC.
Practice address
1200 John Q Hammons Dr
Madison, WI 53717-1959
Phone
(608) 827-5504
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Patricia Anne White
Title
President
Phone
(608) 236-4533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 108770-030 WI Primary

Addresses

Primary practice location

1200 John Q Hammons Dr
Madison, WI 53717-1959

Mailing address

311 Glenthistle CT
Madison, WI 53705-1165

Other identifiers 1

IdentifierTypeStateIssuer
43335400MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1700046323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GLENTHISTLE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171959",
            "telephone_number": "608-827-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ANESTHESIA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-236-4533"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "108770-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43335400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.