Active NPI
Craig A Tokach, CRNA
- Certified Registered Nurse Anesthetist
- Oshkosh, WI
National Provider Identifier
1982669412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 169-033
- Practice address
- 3420 Jackson St
Suite E
Oshkosh, WI 54901-8144 - Phone
- (920) 426-2211
- Fax
- (920) 426-2231
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 169-033 | WI | Primary |
Addresses
Primary practice location
3420 Jackson St
Suite E
Oshkosh, WI 54901-8144
Mailing address
3420 Jackson Drive Rd
Suite E
Oshkosh, WI 54901-8144
Phone (920) 426-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1703 | Other | WI | DEAN HEALTH INSURANCE |
| 43308100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169-033 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Anesthesia Services of the Fox Valley SC | Past | Accepting new patients |
Locations
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1982669412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 JACKSON DRIVE RD",
"address_2": "SUITE E",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549018144",
"telephone_number": "920-426-2211",
"fax_number": "920-426-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 JACKSON ST",
"address_2": "SUITE E",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549018144",
"telephone_number": "920-426-2211",
"fax_number": "920-426-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKACH",
"first_name": "CRAIG",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "169-033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "1703",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43308100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.