Active NPI
Anthony James Garoutte, CRNA
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 15500-33
- Practice address
- 7000 N 102ND St
Milwaukee, WI 53224-4406 - Phone
- (641) 228-0480
- NPI assigned
- Oct 18, 2023
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 15500-33 | WI | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 237885-30 | WI |
Addresses
Primary practice location
7000 N 102ND St
Milwaukee, WI 53224-4406
Mailing address
7000 N 102ND St
Milwaukee, WI 53224-4406
Phone (641) 228-0480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 County Rd B
Shawano, WI 54166-7072
Phone (715) 526-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237885-30 | WI | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Nurse Anesthesia Professional Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
736 Ford St
Kimberly, WI 54136
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
130 2nd St
#A107
Neenah, WI 54956
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Certified Registered Nurse Anesthetist
- Green Bay, WI
- NPI 1992066518
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1720860216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 N 102ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532244406",
"telephone_number": "641-228-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 N 102ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532244406",
"telephone_number": "641-228-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROUTTE",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-18",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "15500-33",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WI",
"license": "237885-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.