EUGENE C BOMMERSBACH (NPI# 1013000496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013000496 |
| Entity Type | Individual |
| Full Name | EUGENE C BOMMERSBACH |
| Credential | CRNA |
| Practice Address |
900 Illinois Ave Stevens Point WI 54481-3114 |
| Practice Telephone | 7153465000 |
| Mailing Telephone | 7153465000 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2011-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 432 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43283900 | 05 |
| Street Address |
900 ILLINOIS AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460192 | Emmanuel K Lonsdorfer | Emergency Medicine | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2005-10-10 |
| 1720628688 | Lynn Maria Collins | Nurse Practitioner | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2020-01-08 |
| 1326685082 | Ascension St Michael's Hospital, Inc | Ambulance | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2019-12-02 |
| 1952948630 | Ascension St Michael's Hospital, Inc | Ambulance | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2019-12-02 |
| 1124685466 | Kati Gittens | Physical Therapist | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2019-05-22 |
| 1386115202 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2018-12-17 |
| 1417434598 | Clarissa M Simonson | Nurse Practitioner | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2018-07-23 |
| 1053833756 | Jane Lind Eustance | Speech-Language Pathologist | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2017-07-13 |
| 1700323193 | Blessing Lee | Nurse Practitioner | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2017-01-24 |
| 1356896047 | Megan C Crockett | Occupational Therapist | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2016-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558624908 | Michael T. Landis | Nurse Anesthetist, Certified Registered | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2012-06-20 |
| 1689994196 | Tina M Schulist | Nurse Anesthetist, Certified Registered | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2010-06-07 |
| 1982869434 | Melissa Ferg | Nurse Anesthetist, Certified Registered | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2008-07-24 |
| 1558397125 | Annette Elwood | Nurse Anesthetist, Certified Registered | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.