Saja C Puthiyottil
STATELINE ANESTHESIOLOGISTS SC


Address: 1969 W Hart Rd, Beloit, WI 53511-2230
Phone: 6083645355

Saja C Puthiyottil (NPI# 1285093351, PAC ID# 9537467071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1285093351
PAC ID by PECOS 9537467071
Professional Enrollment ID I20191209001218
Full Name Saja C Puthiyottil
Organization Legal Name STATELINE ANESTHESIOLOGISTS SC
Address 1969 W Hart Rd
Beloit
WI 53511-2230
Phone Number 6083645355
Gender F
Graduation Year 2019
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 1355353822
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520100 BELOIT HEALTH SYSTEM

Other Locations

Address Phone Organization
1969 W Hart Rd, Beloit, WI 53511-2230 6083645355 STATELINE ANESTHESIOLOGISTS SC

Organization Information

Organization Legal Name STATELINE ANESTHESIOLOGISTS SC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Hajera Taher Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Jimson C Tse Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Mohammed J Mohiuddin Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Hailong Wang Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Mark T Labor Certified Registered Nurse Anesthetist (crna) Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Tania S Balabanova Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Richard M Hartman Certified Registered Nurse Anesthetist (crna) Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Samuel H Cannon Jr. Certified Registered Nurse Anesthetist (crna) Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Beverly Joy La Madrid Certified Registered Nurse Anesthetist (crna) Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230

Office Location

Street Address 1969 W HART RD
City BELOIT
State WI
Zip 53511-2230

Physicians in the same location

Name Specialty Organization Address
Hajera Taher Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Michael K Abernethy Emergency Medicine Southern Wisconsin Emergency Associates Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Vijaya Somaraju Infectious Disease Beloit Health System Inc 1969 W Hart Rd, Beloit, WI 53511-2230
Michael V Coogan Emergency Medicine Southern Wisconsin Emergency Associates Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Mashood Ahmad Nephrology Rna of Rockford, LLC 1969 W Hart Rd, Beloit, WI 53511-2230
Kevin P Emmerich Emergency Medicine Southern Wisconsin Emergency Associates Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Christopher S Vandivort Emergency Medicine Southern Wisconsin Emergency Associates Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Jimson C Tse Anesthesiology Stateline Anesthesiologists Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Lauren M Sheehy Emergency Medicine Southern Wisconsin Emergency Associates Sc 1969 W Hart Rd, Beloit, WI 53511-2230
Nicole A Bindl Nurse Practitioner Beloit Health System Inc 1969 W Hart Rd, Beloit, WI 53511-2230
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Geoffrey T Bouc Family Medicine 3005 S Riverside Dr, Suite 101, Beloit, WI 53511-1500
Ann L Pruyne Occupational Therapy 828 E Azalea Ter, Beloit, WI 53511-1606
Frank C Kollins Chiropractic 1517 E Huebbe Pkwy, Beloit, WI 53511-1795
Sara A Jackson Nurse Practitioner Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Madelene G Hamann Nurse Practitioner Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Steven S Yang Gastroenterology Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Cynthia L Philpott Nurse Practitioner Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Yehia K Khoga Psychiatry Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Joseph K Kittah Pulmonary Disease Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Maria M Poplawska Goetzen Family Medicine Beloit Health System Inc 1905 E Huebbe Pkwy, Beloit, WI 53511-1842
Find all physicians in zip 53511

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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