Robert Baczwaski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

049221 Issued in IA

Practice address

2720 Stone Park Blvd
Sioux City, IA 51104-3734

Phone

(712) 255-2324

NPI assigned

May 31, 2006

Last updated

May 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Hastings Anesthesiology Associates PC

  • Anesthesiology Physician
  • Hastings, NE
  • NPI 1932100344
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1013954155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020683",
            "telephone_number": "712-255-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-255-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACZWASKI",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "049221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123695",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123703",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Axdahl
• Nicole Bacan, MA, CCC-SLP
• Mary E Bachman, LMSW
• Shelly Kay Backhaus, LISW
• Sydney Ann Backstrom, PHARMD
• Nicole Elaine Badders
• Trudy Jean Bader, NP-C
• Craig Wayne Bainbridge, M.D.
• Anthony Joseph Baird, DDS
• Audrey Baird, CADC

• Certified Registered Nurse Anesthetist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.