Active NPI
Walter Drogosz, CRNA
- Anesthesiology Physician
- Ft Defiance, AZ
National Provider Identifier
1124195060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 427254
- Practice address
- Corner of Route N12 and N7
Ft Defiance PHS Hospital
Ft Defiance, AZ 86504 - Phone
- (928) 729-8749
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 427254 | CA | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Ft Defiance PHS Hospital
Ft Defiance, AZ 86504
Mailing address
PO Box 775397
Steamboat Springs, CO 80477-5397
Phone (970) 879-3140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498213 | Medicaid | AZ | |
| 00075595 | Medicaid | NM |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 427254 | CA | MD | Anesthesiology Physician |
| 1687 | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Physician Group LLC | Anesthesiology | Past | Accepting new patients |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
-
- Emergency Medicine Physician
- North Platte, NE
- NPI 1740465715
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124195060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775397",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804775397",
"telephone_number": "970-879-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"address_2": "FT DEFIANCE PHS HOSPITAL",
"city": "FT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROGOSZ",
"first_name": "WALTER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "427254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498213",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00075595",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Defiance, AZ
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.