Individual provider Active NPI

Stanley John Dziaba, DO

  • Emergency Medicine Physician
  • La Crosse, WI
National Provider Identifier
1013599836
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81856 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 81856 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250722002815 WI Practitioner - Emergency Medicine 4688070121 Reassigns benefits to 7 organizations
I20250722002881 MN Practitioner - Emergency Medicine 4688070121 Reassigns benefits to 2 organizations
I20251105002015 IA Practitioner - Emergency Medicine 4688070121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, shared by 16 NPIs, 888 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Boscobel CurrentSince Jul 22, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 12, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 22, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Sep 10, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 12, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Aug 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Tomah Memorial Hospital Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 26, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Aug 21, 2025 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tri-County Memorial Hospital Inc CurrentSince Aug 26, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Aug 26, 2025 Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: sdziaba1078216@direct.emplifyhealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013599836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIABA",
        "first_name": "STANLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "81856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.