Active NPI
Stefan J Gieryn, CRNA
- Certified Registered Nurse Anesthetist
- Fort Atkinson, WI
National Provider Identifier
1073661609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 98033
- Practice address
- 611 Sherman Ave E
Fort Atkinson, WI 53538-1960 - Phone
- (920) 568-5000
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 98033 | WI | Primary |
Addresses
Primary practice location
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Mailing address
N138 MC Millen Rd
Whitewater, WI 53190-2806
Phone (262) 473-8286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GIERYSTE | Other | WV | MERCYCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98033 | WI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073661609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N138 MC MILLEN RD",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531902806",
"telephone_number": "262-473-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SHERMAN AVE E",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381960",
"telephone_number": "920-568-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERYN",
"first_name": "STEFAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "98033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE",
"identifier": "GIERYSTE",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- 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.