Association of Hospital Anesthesiologists SC
Organization Active NPI Anesthesiology Physician · Neenah, WI
NPI 1720076474 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1720076474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Karl Orth, MD
- Title
- Head of Group
- Phone
- (920) 729-3332
Practitioners 149
-
Robert William Amorde, M.D.
-
Joseph A Arndt, M.D.
-
Robert Andrew Biechler, M.D.
-
David Brad Bogard, CRNA
-
Jerome E Bormes, MD
-
Rebecca M Broeckert, M.D.
-
Alissa Rose Brown, CRNA
-
Benjamin Joseph Carroll, D.O.
-
Joshua X Condado, CRNA
-
Joshua P Douma, CRNA
-
Timothy E Downey, CRNA
-
Stephen C Dungar, M.D.
-
Richard Anton Dziewit, CRNA
-
Anthony James Garoutte, CRNA
-
Angie Geiger, M.D.
-
Randal L Goethke, M.D.
-
Tonia M. Greenwood, M.D.
-
Frederick Lane Groutage, M.D.
-
John M Hall, M.D.
-
Dylan James Michael Hamilton, REGISTERED NURSE
-
Michelle L Henrickson, CRNA, APNP
-
Tyler G Higginson, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
130 2nd St
Ste A107
Neenah, WI 54956
Phone (920) 725-5181
130 2nd St
#A107
Neenah, WI 54956
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21267300 | Medicaid | WI |
Other providers in Neenah, WI
- Corbin Charles Asbury
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Omar Atassi
- Athletico LTD
- John Aufderheide
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
All providers in Neenah, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.