NPIMap

Organization Active NPI

Association of Hospital Anesthesiologists SC

  • Anesthesiology Physician
  • Neenah, WI
National Provider Identifier
1720076474
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ASSOCIATION OF HOSPITAL ANESTHESIOLOGISTS SC
Practice address
130 2ND St
Ste. A107
Neenah, WI 54956-2883
Phone
(920) 729-3332
NPI assigned
Oct 7, 2005
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Karl Orth, MDNPI 1891783536
Title
Head of Group
Phone
(920) 729-3332

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

130 2ND St
Ste. A107
Neenah, WI 54956-2883

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (706) 650-0705

Other identifiers 1

IdentifierTypeStateIssuer
21267300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719001050 WI Part B Supplier - Clinic/Group Practice 3476539875 Receives reassigned benefits from 136 practitioners
Practice locations: Wild Rose, WI; Waupaca, WI; Appleton, WI; Shawano, WI; Oshkosh, WI; New London, WI; Neenah, WI; Berlin, WI

National Provider Directory

National Provider Directory

Locations

2109 E Capitol Dr
#B
Appleton, WI 54911
Phone (844) 693-1483

130 2nd St
#A107
Neenah, WI 54956

130 2nd St
Ste A107
Neenah, WI 54956
Phone (920) 725-5181

250 W 6th Ave
Oshkosh, WI 54902
Phone (920) 237-5000

Practitioners & affiliated clinicians

Practitioners 149

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.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1720076474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "706-650-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 2ND ST",
            "address_2": "STE. A107",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562883",
            "telephone_number": "920-729-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF HOSPITAL ANESTHESIOLOGISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ORTH",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "920-729-3332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21267300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.