TARA L MAHONEY (NPI# 1750472163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750472163 |
| Entity Type | Individual |
| Full Name | TARA L MAHONEY |
| Credential | CRNA |
| Practice Address |
80 1st St Prairie Du Sac WI 53578-1550 |
| Practice Telephone | 6086433311 |
| Mailing Telephone | 6086433311 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 117626 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 44357900 | 05 | |
| WI | RAILROAD MEDICARE | P00602726 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427826 | Tara Colleen Mahoney | Counselor | 158 Flocktown Rd, Long Valley, NJ 07853-3545 | 2020-05-01 |
| 1962860999 | Tara Mahoney | Nurse Practitioner | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2016-02-04 |
| 1073987046 | Tara Mahoney | Counselor | 920 Sw Frazer Ave, Pendleton, OR 97801-2800 | 2015-11-13 |
| 1619120938 | Tara Mahoney | Nurse Practitioner | 4 Technology Dr, East Setauket, NY 11733-4080 | 2008-10-30 |
| 1326121062 | Tara Ann Mahoney | Counselor | 859 Willard St, 340, Quincy, MA 02169-7482 | 2006-10-24 |
| Street Address |
80 1ST ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921046 | Sandhya V Shah | Internal Medicine | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2005-06-09 |
| 1013349984 | Sarah Hellenbrand | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2013-08-02 |
| 1679868400 | Diane Austin | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2011-06-09 |
| 1881836245 | Justin T. Schroeder | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-04-01 |
| 1982842993 | Amy B Miller | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-29 |
| 1518103076 | Kathleen Meister | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-05 |
| 1346491628 | Sonya Kelly-lynn Rowe | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2008-10-06 |
| 1710155379 | Kristin Kolodziej | Specialist/Technologist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2008-02-18 |
| 1891990610 | Emily J Smith | Physician Assistant | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-06-20 |
| 1194878645 | Thomas William Wojta | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| Find all providers in zip 53578 | ||||
| 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 |
|---|---|---|---|---|
| 1881836245 | Justin T. Schroeder | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-04-01 |
| 1396884474 | Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1992755060 | Thomas W Murphy | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-05-11 |
| 1023067246 | Curtis N Johnson | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-05-06 |
| 1235196882 | David E Sisbach | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-04-27 |
| 1578520136 | Jay P Ironside | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-04-27 |
| 1972560530 | Mark A Starr | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2006-04-27 |
| 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 | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.