Vituity-Wisconsin Anesthesia SC
Organization Active NPI Anesthesiology Physician · Pleasant Prairie, WI
NPI 1821831975 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1821831975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- VITUITY-WISCONSIN ANESTHESIA SC
- Practice address
- 9555 76TH St
Pleasant Prairie, WI 53158-1984 - Phone
- (262) 577-8000
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
Authorized official
- Name
- David Birdsall
- Title
- Vice President and Secretary
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 215
-
Ayobami A Adelayi, CRNA
-
Tara L Alauf, CRNA
-
Shontanay Anders, CRNA
-
Antonio C Caballero, M.D.
-
Maryann Chrzaszcz, D.O.
-
Kyle Czarnecki, DO
-
Anil Dogra, M.D.
-
Gregory J. Downs, M.D.
-
Benjamin L Erickson, A.A.
-
Jennifer K Evans, CRNA
-
Jeffrey T. Follansbee, M.D.
-
Alia Lynell Fox, M.D.
-
Daniel P Francis, M.D.
-
Karen G Garrett, CRNA
-
Tyler Paul Griebel, M.D.
-
Samina Hafeez, MD
-
Brittyn Hanner, CAA
-
Bradley N Haugstad, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240718002237 | WI | Part B Supplier - Clinic/Group Practice | 2163968819 |
Receives reassigned benefits from 206 practitioners 3 other NPIs on this enrollment Practice locations: Wauwatosa, WI; Pleasant Prairie, WI; Milwaukee, WI; Mequon, WI; Brookfield, WI; Glendale, WI; Franklin, WI |
National Provider Directory
- Tax ID family
- Vituity-Wisconsin Anesthesia SC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
9555 76TH St
Pleasant Prairie, WI 53158-1984
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600
Other practice location 1
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158-2118
Phone (262) 653-5330
Other providers in Pleasant Prairie, WI
- Nicholas Valeri
- Christi Sajee Varkey
- Dana Varriello
- Mohini Verma
- Village of Pleasant Prairie
- Vituity-Wisconsin Em SC
- Vituity-Wisconsin HM SC
- Vituity-Wisconsin LLC
- Mutsa Vollmer
- Walgreen Co
All providers in Pleasant Prairie, 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 Aug 29, 2024. 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.