David E Sisbach, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

86128 Issued in WI

Practice address

80 1St St
Prairie Du Sac, WI 53578-1550

Phone

(608) 643-3311

NPI assigned

Apr 27, 2006

Last updated

Aug 3, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Sauk Prairie Healthcare Inc

  • Certified Registered Nurse Anesthetist
  • Prairie Du Sac, WI
  • NPI 1396884474

  Nurse Anesthetist, Certified Registered

  NPD
• Sauk Prairie Healthcare, Inc.

  dba Prairie Clinic

  • Family Medicine Physician
  • Sauk City, WI
  • NPI 1235163494
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1235196882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISBACH",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "86128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43279500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sauk Prairie Internal Medicine, LTD.
• Alicia Schaefer
• Justin T. Schroeder, CRNA
• Laura T Sengbusch, DDS
• Sandhya V Shah, MD
• Emily J Smith, PA
• Jamie Soper, AU.D.
• Angela M Sorg, APNP
• St. Vincent de Paul of Sauk Prairie/ Roxbury, Inc
• Mark A Starr, CRNA

• Certified Registered Nurse Anesthetist in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.