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DIANE L HARTZOG CRNA
NPI 1871538744
Anesthesiologist Assistant in Watertown, WI

Active since June 17, 2006
125 HOSPITAL DRIVE, WATERTOWN, WI 53098(920) 262-4450 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane L Hartzog Crna NPPES

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

DIANE L HARTZOG CRNA (NPI 1871538744) is an individual anesthesiologist assistant in Watertown, Wisconsin, licensed in Wisconsin (78920030) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1871538744
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameDIANE L HARTZOGCredential: CRNA
Location Address125 HOSPITAL DRIVEWatertown, WI 53098
Mailing Address4555 West Schroeder Drive, Suite 170Milwaukee, WI 53223 · (414) 365-3210 · Fax (414) 365-3225
Phone(920) 262-4450
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateMarch 27, 2008
✔ NPI 1871538744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in WI · 78920030
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
125 HOSPITAL DRIVE, Watertown, WI 53098
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Other Identifiers 1

Medicaid43379900WI

Other Providers at the Same Location NPPES 4

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

WATERTOWN MEDICAL CENTER LLC
Psychiatric Unit
125 HOSPITAL DRIVE
WATERTOWN, WI 53098
Dodge County (920) 261-4210
JOAN A BROWN-DOUGHERTY OTR
Occupational Therapist
125 HOSPITAL DRIVE
WATERTOWN, WI 53098
Dodge County (920) 262-4220
WATERTOWN HEART INSTITUTE SC
Specialist
125 HOSPITAL DRIVE
WATERTOWN, WI 53098
Dodge County (920) 262-4449
DR. DAVID G PARKINS MD
Anesthesiology
125 HOSPITAL DRIVE
WATERTOWN, WI 53098
Dodge County (414) 704-2155

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 Diane Hartzog's NPI number?

The NPI number for Diane Hartzog is 1871538744. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Diane Hartzog located?

Diane Hartzog practices at 125 Hospital Drive, Watertown, WI 53098. The listed phone number is (920) 262-4450.

What is Diane Hartzog's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

When was this NPI record last updated?

The NPPES record for Diane Hartzog was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.