MICHAEL GOSPODAREK (NPI# 1790736452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736452 |
| Entity Type | Individual |
| Full Name | MICHAEL GOSPODAREK |
| Credential | CRNA |
| Practice Address |
500 S Oakwood Rd Oshkosh WI 54904-7944 |
| Mailing Address |
3420 Jackson St Suite E Oshkosh WI 54901-8144 |
| Practice Telephone | 9202232000 |
| Mailing Telephone | 9204262211 |
| Mailing Fax Number | 9204262231 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1089033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TRAVELERS | 430059327 | 01 |
| WI | 43320400 | 05 |
| Street Address |
500 S OAKWOOD RD |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385597 | Anesthesia Services of The Fox Valley Sc | Anesthesiology | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2005-06-09 |
| 1881211027 | Mike Zernzach | Pharmacist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-07-04 |
| 1477179059 | Amanda Gruber | Dietitian, Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-06-19 |
| 1912527193 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-04-17 |
| 1255965430 | Autumn Bridget Anderson | Occupational Therapy Assistant | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-02-26 |
| 1912484619 | Ihc-wound Care Services LLC | Emergency Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-07-25 |
| 1093205163 | Ascension Ne Wisconsin, Inc | Psychiatric Unit | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2018-05-15 |
| 1326542580 | Tyler Burton | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-03-22 |
| 1093223893 | Austin Michael Calantoni | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-01-15 |
| 1437692589 | Ashley Rickert | Occupational Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| 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 |
|---|---|---|---|---|
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1336489418 | Tyler G. Higginson, Crna, LLC | Nurse Anesthetist, Certified Registered | 5295 Ivy Ln, Oshkosh, WI 54904-9528 | 2013-02-26 |
| 1982669412 | Craig A Tokach | Nurse Anesthetist, Certified Registered | 3420 Jackson St, Suite E, Oshkosh, WI 54901-8144 | 2006-04-18 |
| 1407838824 | John Dennis Berg | Nurse Anesthetist, Certified Registered | 4936 Ormond Beach Ct, Oshkosh, WI 54904-9342 | 2005-11-20 |
| 1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
| 1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
| 1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
| 1134585508 | Anesthesia Services of The Fox Valley, S.c. | Nurse Anesthetist, Certified Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-01-14 |
| 1740646546 | Cole Biechler | Nurse Anesthetist, Certified Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-01-08 |
| 1841605250 | Brittney Barribeau | Nurse Anesthetist, Certified Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2014-06-24 |
| Find all providers in OSHKOSH | ||||
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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.