MR. BENJAMIN JOHN KOZLOSKI (NPI# 1841814472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841814472 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN JOHN KOZLOSKI |
| Credential | CRNA |
| Practice Address |
225 Memorial Dr Berlin WI 54923-1243 |
| Mailing Address |
2957 Brighton Pl Green Bay WI 54311-6693 |
| Practice Telephone | 9203611313 |
| Mailing Telephone | 9205622790 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041407585 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 MEMORIAL DR |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403832 | M Jean Bruce | Family Medicine | 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 | 2005-08-02 |
| 1003439720 | Courtney Disterhaft | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2020-05-28 |
| 1457911984 | Nolan S Baker | Speech-Language Pathologist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2019-06-17 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1891291167 | Northeast Wisconsin Foot and Ankle Assoc., S.c. | Podiatrist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2018-04-04 |
| 1437606373 | Sherry Lynn Reinsbach | Occupational Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-09-08 |
| 1528513272 | Jessica M Braun | Physical Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-23 |
| 1326592270 | Brandon Eric Mcmullen | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-09 |
| 1508310467 | Marissa Marie Schleis | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-09 |
| 1558814764 | Emily T Engelke | Dietitian, Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| 1750673513 | Kristy E Wagner | Occupational Therapy Assistant | 225 Memorial Drive, Berlin, WI 54923 | 2011-05-11 |
| Find all providers in zip 54923 | ||||
| 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 |
|---|---|---|---|---|
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1871845552 | Jessica Skvarch Hadley | Nurse Anesthetist, Certified Registered | 46 White Sail Cir, Berlin, MD 21811-1514 | 2012-10-05 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1013399047 | Jessica Jo Tomasiewicz | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2015-06-26 |
| 1104229129 | Luc G Corriveau | Nurse Anesthetist, Certified Registered | 59 Page Hill Rd, Berlin, NH 03570 | 2014-10-04 |
| 1265841589 | Mary C Phung | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2014-08-12 |
| 1972807436 | Julie Erickson | Nurse Anesthetist, Certified Registered | 59 Page Hill Rd, Berlin, NH 03570 | 2010-12-27 |
| 1306825054 | Kristin Louise Koch | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2006-01-11 |
| 1033190988 | Tony D Singh | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2005-11-08 |
| 1104813047 | Keith Anthony Krause | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2005-10-05 |
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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.