Timberwolf Anesthesia SC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

TIMBERWOLF ANESTHESIA SC

Practice address

502 S Glen TRL
Lino Lakes, MN 55014-5497

Phone

(612) 839-4551

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Erlandson, APRN, CRNA

Title

President

Phone

(612) 839-4551

Specialties & licenses 1

Addresses

Tax ID family

Timberwolf Anesthesia SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timberwolf Anesthesia SC

  • Certified Registered Nurse Anesthetist
  • Becker, MN
  • NPI 1962955617
  NPD tax ID

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1982050746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "14054 BANK ST",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553080100",
            "telephone_number": "763-260-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S GLEN TRL",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550145497",
            "telephone_number": "612-839-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERWOLF ANESTHESIA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "ERLANDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-839-4551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Circle of Healing Arts
• Therapy Partners, Inc.
• Thomas Tardif Performance Solutions (Resonance Performance Solutions)
• Angie Thompson
• McKay Tilton, MA, LPCC, LADC
• Alaina Jean Tolzmann
• Michael Charles Tressler, M.D
• Tonya Lee Van Ee, RN
• Dale Herbert Vancil, D. P, M.
• Matthew Watnemo, LPCC

• Certified Registered Nurse Anesthetist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.