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PHILIP J MITTELSTAEDT CRNA
NPI 1316934250
Nurse Anesthetist, Certified Registered in Ripon, WI

Active since October 05, 2005
845 PARKSIDE ST, RIPON, WI 54971(920) 748-3101 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip J Mittelstaedt Crna NPPES

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

PHILIP J MITTELSTAEDT CRNA (NPI 1316934250) is an individual nurse anesthetist, certified registered in Ripon, Wisconsin, licensed in Wisconsin (77170-030) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1316934250
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePHILIP J MITTELSTAEDTCredential: CRNA
Location Address845 PARKSIDE STRipon, WI 54971-8505
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370
Phone(920) 748-3101
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1316934250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 77170-030
Definition
(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.
845 PARKSIDE ST, Ripon, WI 54971
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Other Identifiers 1

Medicaid43303800WI

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.

RATNA BUNGER PHARMD
Pharmacist
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 745-3490
DR. DAVID ALEXIS CALDERWOOD M.D.
Emergency Medicine
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 748-3101
LAURIE ANN RECHEK LCSW
Social Worker (Clinical)
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 926-4200
THOMAS B KLOOSTERBOER MD
Anesthesiology
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 748-3101
DR. PRISCILLA V GEORGE MD
Hospitalist
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 745-3440
MICHAEL J. COMBS M.D.
Emergency Medicine
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 745-3440
ABIGAIL E GUELIG LPC
Counselor (Professional)
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 926-4200
PATRICIA JANE ELLIS PH.D.
Psychologist
845 PARKSIDE ST
RIPON, WI 54971
Fond Du Lac County (920) 926-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Mittelstaedt's NPI number?

The NPI number for Philip Mittelstaedt is 1316934250. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Philip Mittelstaedt located?

Philip Mittelstaedt practices at 845 Parkside St, Ripon, WI 54971. The listed phone number is (920) 748-3101.

What is Philip Mittelstaedt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Philip Mittelstaedt was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.