Organization
STATELINE ANESTHESIOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMSON C TSE MD (PRESIDENT OF CORPORATION)
(608) 362-7444
Entity
Organization
Contact information
Practice address
1969 W HART RD, BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511-2230
(608) 364-5355
(608) 362-0417
Mailing address
PO BOX 686, BELOIT, WI 53512-0686
(608) 362-7444
(608) 362-0417
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32828100
—
WI
01
—
541844
DEANCARE
WI
Enumeration date
10/27/2005
Last updated
06/25/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up