Organization Active NPI

Angela Mathias, LLC

  • Certified Registered Nurse Anesthetist
  • Oshkosh, WI
National Provider Identifier
1730508771
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4836-33 Issued in WI
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

Updated by the provider on Apr 7, 2014

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.