WILLIAM GUNTHER MALLON CRNA NPI 1013090885
Nurse Anesthetist, Certified Registered in Saint Germain, WI

About WILLIAM GUNTHER MALLON CRNA

William Mallon is a provider established in Saint Germain, Wisconsin and his medical specialization is Nurse Anesthetist, Certified Registered. The NPI number of William Mallon is 1013090885 and was assigned on October 2006. The practitioner's primary taxonomy code is 367500000X with license number 28182298A (IN). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1013090885
Provider Name WILLIAM GUNTHER MALLON CRNA
Location Address2149 FOUND LAKE RD. BOX 625 SAINT GERMAIN, WI 54558
Location Phone(715) 542-2728
Mailing AddressPO BOX 625 SAINT GERMAIN, WI 54558
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date10-23-2006
Last Update Date03-22-2010


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.28182298A
License StateIN
Taxonomy Description(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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Anthem Blue Cross
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

WILLIAM GUNTHER MALLON CRNA
2149 FOUND LAKE RD. BOX 625
SAINT GERMAIN, WI
ZIP 54558
Phone: (715) 542-2728

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Mailing Address

WILLIAM GUNTHER MALLON CRNA
PO BOX 625
SAINT GERMAIN, WI
ZIP 54558
Phone: (715) 542-2728


Location Map

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered137583-030WINo

Taxonomy Description: (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.

2367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered470412917MINo

Taxonomy Description: (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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200929030MEDICAID (05)IN
026511OTHER (01)AANA/CRNA
P00782471MEDICARE PIN (08)IN
000000602388OTHER (01)INANTHEM PROVIDER NUMBER
815500S7MEDICARE PIN (08)IN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013090885
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023090816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 0 + 8 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013090885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is William Mallon CRNA NPI number?

The NPI number assigned to William Mallon CRNA is 1013090885, registered as an "individual" on October 23, 2006

Where is William Mallon CRNA located?

The provider is located at 2149 Found Lake Rd. Box 625 Saint Germain, Wi 54558 and the phone number is (715) 542-2728

Which is William Mallon CRNA specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

What insurance does William Mallon CRNA accept?

The provider might be accepting Anthem Blue Cross, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of William Mallon CRNA was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]