Novus Wisconsin Service Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NOVUS WISCONSIN SERVICE CORPORATION

Practice address

501 Gopher Dr
Tomah, WI 54660-4513

Phone

(404) 419-0230

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Poole

Title

President

Phone

(404) 285-8388

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1902577406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12766",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325912766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOPHER DR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "404-419-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS WISCONSIN SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-285-8388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliel Nieves Torres
• Northland Hearing Centers, Inc. (Better Hearing Centre)
• Renee Ann Nosbisch, RN
• Gina Lynn Noth, RN
• Wanda M Novak, PA-C
• Charlene Ann Nowak, NP
• Darin Oakes, RN
• Harry Johrt Ohrt, RPH
• Brian William Olson, D.C.
• Bruce Lynn Olson, P.T.

• Anesthesiology Physician in Tomah, WI
• Providers in Tomah, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.