Active NPI
Jeffrey D Pierce
- Certified Registered Nurse Anesthetist
- Dodgeville, WI
National Provider Identifier
1184706251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- JEFFREY D PIERCE
- Doing business as
- SOUTHWEST ANESTHESIA SERVICE
- Practice address
- 800 Compassion Way
Dodgeville, WI 53533-1956 - Phone
- (608) 935-2711
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff D Pierce, CRNA
- Title
- Owner
- Phone
- (888) 443-9902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | WI | Primary |
Addresses
Primary practice location
800 Compassion Way
Dodgeville, WI 53533-1956
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39754747701 | Other | WI | UNITY HEALTH PLAN |
| 43419200 | Medicaid | WI |
Other names 1
- SOUTHWEST ANESTHESIA SERVICE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1184706251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COMPASSION WAY",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331956",
"telephone_number": "608-935-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY D PIERCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-443-9902",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY HEALTH PLAN",
"identifier": "39754747701",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43419200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTHWEST ANESTHESIA SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.