Provider Demographics
NPI:1669550711
Name:MADISON ANESTHESIOLOGY CONSULTANTS, LLP
Entity type:Organization
Organization Name:MADISON ANESTHESIOLOGY CONSULTANTS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:QUALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-417-6676
Mailing Address - Street 1:202 S PARK ST
Mailing Address - Street 2:4 TOWER
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1507
Mailing Address - Country:US
Mailing Address - Phone:608-417-6676
Mailing Address - Fax:608-417-5746
Practice Address - Street 1:202 S PARK ST
Practice Address - Street 2:4 TOWER
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1507
Practice Address - Country:US
Practice Address - Phone:608-267-6676
Practice Address - Fax:608-267-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32896400Medicaid
WI32896400Medicaid