CRNA'S
NPI 1073611083
Anesthesiology in New London, WI

Q: What is Thedacare Medical Center - New London, Inc.'s specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since September 21, 2006CLIA 52D0397909 · Accreditation

1405 MILL ST, NEW LONDON, WI 54961(920) 531-2092(920) 531-2098 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crna's NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRNA'S (NPI 1073611083) is a healthcare organization registered as an anesthesiology in New London, Wisconsin and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Mark Steven Thompson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073611083

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameTHEDACARE MEDICAL CENTER - NEW LONDON, INC.

Location Address1405 MILL STNew London, WI 54961-2155

Mailing Address1405 Mill St, Po Box 307New London, WI 54961-2155 · (920) 531-2092 · Fax (920) 531-2098

Phone(920) 531-2092

Fax(920) 531-2098

Organization SubpartNo

Authorized OfficialMark Steven ThompsonCfo · (920) 830-5885

Enumeration DateSeptember 21, 2006

Last NPPES UpdateSeptember 26, 2019

✔ NPI 1073611083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1405 MILL ST, New London, WI 54961

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Other Names 1

Other NameCrna's

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0397909

Thedacare Medical Center - New London · New London, WI

Active · expires Jan 2, 2027

CLIA Number52D0397909

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Stacy Hitt

Laboratory Phone(920) 531-2040

Laboratory LocationThedacare Medical Center - New London1405 Mill St, New London, WI 54961

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA RENEE KACZOCHA

Physical Therapist