Tom R Pankratz in Baraboo - Nurse Anesthetist, Certified Registered
Tom R Pankratz - NPI 1699757492
Tom R Pankratz is a Nurse Anesthetist, Certified Registered in Baraboo, Wisconsin. Tom R Pankratz practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Tom R Pankratz is 1699757492. The last update date is 2010-03-09.
Tom R Pankratz's current location address is 707 14th St, Baraboo, Wisconsin. You can contact this provider via phone number 6083561400. The mailing address for Tom R Pankratz is 707 14th St, Baraboo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom R Pankratz |
|---|---|
| Address | 707 14th St, Baraboo, Wisconsin |
| Phone Number | 6083561400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699757492 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2010-03-09 |
Provider Mailing Address Detail
| Address | 707 14th St |
|---|---|
| City | Baraboo |
| State | Wisconsin (WI) |
| Post Code | 539131539 |
| Phone Number | 6083561400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 42315 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1009390 | WI | PHYS PLUS PROV # | |
| 551896 | WI | DEANCARE PROV # | |
| 388407992 | WI | TRICARE PROV # | |
| 430054481 | WI | RR MEDICARE PROV # | |
| 391023846 | WI | COMMERCIAL INS PROV # | |
| 43322800 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Tom R Pankratz by the Centers for Medicare & Medicaid Services?
The Tom R Pankratz has been issued the NPI (National Provider Identifier) 1699757492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tom R Pankratz's facilities are geographically located?
The facilities of Tom R Pankratz are physically situated at the following location: 707 14Th St, Baraboo, WI, 539131539.
What is Tom R Pankratz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tom R Pankratz is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Tom R Pankratz receive its 1699757492 assignment from the Centers for Medicare & Medicaid Services?
The Tom R Pankratz was assigned its 1699757492 by the Centers for Medicare & Medicaid Services on 2005-11-17.
When was the information pertaining to Tom R Pankratz most recently updated or revised?
The details related to Tom R Pankratz, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-09.