Diane L Hartzog in Watertown - Anesthesiologist Assistant
Diane L Hartzog - NPI 1871538744
Diane L Hartzog is a Anesthesiologist Assistant in Watertown, Wisconsin. Diane L Hartzog practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Diane L Hartzog is 1871538744. The last update date is 2008-03-27.
Diane L Hartzog's current location address is 125 Hospital Drive, Watertown, Wisconsin. You can contact this provider via phone number 9202624450. The mailing address for Diane L Hartzog is 125 Hospital Drive, Watertown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane L Hartzog |
|---|---|
| Address | 125 Hospital Drive, Watertown, Wisconsin |
| Phone Number | 9202624450 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1871538744 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 125 Hospital Drive |
|---|---|
| City | Watertown |
| State | Wisconsin (WI) |
| Post Code | 53098 |
| Phone Number | 9202624450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 78920030 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43379900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Diane L Hartzog by the Centers for Medicare & Medicaid Services?
The Diane L Hartzog has been issued the NPI (National Provider Identifier) 1871538744 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Diane L Hartzog's facilities are situated?
The facilities of Diane L Hartzog are physically located at the following address: 125 Hospital Drive, Watertown, WI, 53098.
What is the area of specialization for Diane L Hartzog, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Diane L Hartzog is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 367H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871538744 to Diane L Hartzog?
The Centers for Medicare & Medicaid Services originally issued the 1871538744 to Diane L Hartzog on 2006-06-17.
When was the information regarding Diane L Hartzog most recently updated?
The details pertaining to the Diane L Hartzog, including its address, specialty, and other relevant information, were last refreshed on 2008-03-27.