Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ihc-Beaver Dam Anesthesia and Pain Management Services LLC

Organization Anesthesiology Physician · NPI 1265671259

Ihc-Beaver Dam Anesthesia and Pain Management Services LLC is an Anesthesiology Physician in Beaver Dam, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (414) 290-6720
Fax: (414) 290-6755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1265671259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (954) 838-2371
NPI enumeratedFebruary 13, 2009
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing addressPo Box 744489, Atlanta, GA 30374-4489

Other providers in Beaver Dam