Matthew J Stader, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D135182 Issued in IA

Practice address

1900 John F Kennedy Rd
Dubuque, IA 52002-3865

Phone

(563) 556-8332

Fax

(563) 556-8334

NPI assigned

May 29, 2013

Last updated

Mar 4, 2015By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mstader155348@direct.unitypoint.org

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.

• Grant Regional Health Center, Inc.

  • Critical Access Hospital
  • Lancaster, WI
  • NPI 1255339867
  Medicare reassignment NPD
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Medicare reassignment NPD
• Memorial Hospital of Boscobel

  dba Gundersen Boscobel Area Hospital and Clinics

  • Critical Access Hospital
  • Boscobel, WI
  • NPI 1760459846
  Medicare reassignment NPD
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Medicare reassignment NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Grant Regional Health Center, Inc

  dba Grant Regional Community Clinic- Fennimore

  • Family Medicine Physician
  • Fennimore, WI
  • NPI 1659060077
  NPD
• Grant Regional Health Center, Inc

  dba Potosi Tennyson Medical Clinic

  • Rural Health Clinic/Center
  • Potosi, WI
  • NPI 1699724443
  NPD
• Lafayette County

  dba Emergency Medical Services of Lafayette County

  • Land Ambulance
  • Darlington, WI
  • NPI 1427648526
  NPD
• Memorial Hospital of Boscobel

  • Medicare Defined Swing Bed Hospital Unit
  • Boscobel, WI
  • NPI 1497712624
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Family Medicine Physician
  • Cuba City, WI
  • NPI 1275886590
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1205273422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023865",
            "telephone_number": "563-556-8332",
            "fax_number": "563-556-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023865",
            "telephone_number": "563-556-8332",
            "fax_number": "563-556-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D135182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• State University of Iowa
• Statera LLC
• Christopher M Steege, DPT

• Certified Registered Nurse Anesthetist in Dubuque, IA
• Providers in Dubuque, 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 Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.