Organization Active NPI

WLSC Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
National Provider Identifier
1831443373
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WLSC ANESTHESIA LLC
Practice address
10200 W Innovation Dr
Ste 700
Milwaukee, WI 53226-4825
Phone
(404) 302-9196
Fax
(414) 773-4666
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
David W. Holst
Title
President Board of Managers
Phone
(615) 345-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

10200 W Innovation Dr
Ste 700
Milwaukee, WI 53226-4825

Mailing address

401 Commerce St
Ste 740
Nashville, TN 37219-2446
Phone (615) 345-6879

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

401 Commerce St
Ste 740
Nashville, TN 37219
Phone (615) 345-6900

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1831443373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "STE 740",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6879",
            "fax_number": "615-345-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W INNOVATION DR",
            "address_2": "STE 700",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264825",
            "telephone_number": "404-302-9196",
            "fax_number": "414-773-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLSC ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-345-6899"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 15, 2013; 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.