Active NPI
Angela Mathias, LLC
- Certified Registered Nurse Anesthetist
- Oshkosh, WI
National Provider Identifier
1730508771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4836-33
- Legal business name
- ANGELA MATHIAS, LLC
- Practice address
- 501 Doctors CT
Oshkosh, WI 54901-2025 - Phone
- (920) 236-3550
- NPI assigned
- Apr 7, 2014
- 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
- Angela L Mathias, CRNA
- Title
- Owner
- Phone
- (920) 660-2341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4836-33 | WI | Primary |
Addresses
Primary practice location
501 Doctors CT
Oshkosh, WI 54901-2025
Mailing address
2701 Prairie Garden TRL
Green Bay, WI 54313-3958
Phone (920) 660-2341
National Provider Directory
National Provider DirectoryLocations
227N Altenhofen Dr
Appleton, WI 54913
Phone (920) 993-1643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1730508771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 PRAIRIE GARDEN TRL",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543133958",
"telephone_number": "920-660-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DOCTORS CT",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549012025",
"telephone_number": "920-236-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA MATHIAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A",
"authorized_official_last_name": "MATHIAS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-660-2341",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4836-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.