NPIMap

Organization Active NPI

Anesthetists Inc. of Wisconsin

  • Pain Management Registered Nurse
  • Deer Park, WI
National Provider Identifier
1740399500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
Legal business name
ANESTHETISTS INC. OF WISCONSIN
Practice address
2302 Highway 46
Deer Park, WI 54007-7501
Phone
(715) 269-5530
Fax
(715) 269-5535
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Curtis W Olson, CRNA
Title
President
Phone
(715) 269-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0000X Primary

Addresses

Primary practice location

2302 Highway 46
Deer Park, WI 54007-7501

Mailing address

2302 Highway 46
P.O. Box 159
Deer Park, WI 54007-7501
Phone (715) 269-5530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740399500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 HIGHWAY 46",
            "address_2": "P.O. BOX 159",
            "city": "DEER PARK",
            "state": "WI",
            "postal_code": "540077501",
            "telephone_number": "715-269-5530",
            "fax_number": "715-269-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 HIGHWAY 46",
            "city": "DEER PARK",
            "state": "WI",
            "postal_code": "540077501",
            "telephone_number": "715-269-5530",
            "fax_number": "715-269-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHETISTS INC. OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-269-5530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.