Active NPI
Douglas Arthur Giedt, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
National Provider Identifier
1134178197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R13142
- Practice address
- 2301 25TH St S
Ste K
Fargo, ND 58103-6104 - Phone
- (701) 234-1728
- Fax
- (701) 234-1681
- NPI assigned
- May 8, 2006
- Last updated
- Nov 15, 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 | R13142 | ND | Primary |
Addresses
Primary practice location
2301 25TH St S
Ste K
Fargo, ND 58103-6104
Mailing address
2301 25TH St S
Ste K
Fargo, ND 58103-6104
Phone (701) 234-1728
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003890 | Other | ND BLUE SHIELD | |
| 10221 | Medicaid | ND | |
| 53A58GI | Other | MN | MN BLUE SHIELD |
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 |
|---|---|---|---|
| R13142 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Valley Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1114479375
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1467513176
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1134178197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 25TH ST S",
"address_2": "STE K",
"city": "FARGO",
"state": "ND",
"postal_code": "581036104",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 25TH ST S",
"address_2": "STE K",
"city": "FARGO",
"state": "ND",
"postal_code": "581036104",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIEDT",
"first_name": "DOUGLAS",
"middle_name": "ARTHUR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R13142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND BLUE SHIELD",
"identifier": "003890",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10221",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BLUE SHIELD",
"identifier": "53A58GI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.