John D Dusenbery, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

78062-030 Issued in WI

Practice address

5000 Memorial Dr
Two Rivers, WI 54241-3900

Phone

(920) 794-5000

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Spine Group, S.C.

  • Orthopaedic Surgery of the Spine Physician
  • Stevens Point, WI
  • NPI 1235962804
  NPD
• Holy Family Memorial Inc

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  NPD (past)
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013022284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 TERRACE CT",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542411720",
            "telephone_number": "920-794-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413900",
            "telephone_number": "920-794-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSENBERY",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "78062-030",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "380-033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Diaz, MD
• Lanan Rae Dixon, P.T.
• Joseph M Donati, PT
• Paula Dow, R.N.
• Kaytlyn Rae Kramer Dummer, PHARMD
• Amy R Dysart, MD
• Wayne K Edmonds, MS, LPC
• Todd C Eiden, PHD
• Elizabeth Alice Elmore, RN
• Jennifer Emnott, MA BCBA

• Certified Registered Nurse Anesthetist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.