Active NPI
Stuart Gall, MS, CRNA
- Certified Registered Nurse Anesthetist
- Medford, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 135 S Gibson St
Medford, WI 54451-1622 - Phone
- (715) 748-8100
- Fax
- (715) 748-8847
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 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 | WI | Primary |
Addresses
Primary practice location
135 S Gibson St
Medford, WI 54451-1622
Mailing address
W5707 Jolly Ave
Medford, WI 54451-9302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44311500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142552-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Stuart Gall Crna Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
30544 Highway 200
Ste 201
Ponderay, ID 83852
Phone (208) 265-8194
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Ponderay, ID
- NPI 1932527389
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bonners Ferry, ID
- NPI 1679621098
-
dba Boundary Community Clinics
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
-
dba Premier Anesthesia of Richland
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
dba Providence Holy Family Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1083866453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437184827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5707 JOLLY AVE",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544519302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-8100",
"fax_number": "715-748-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "STUART",
"name_prefix": "Mr.",
"credential": "MS, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44311500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
- Family Health Center of Marshfield Inc (Family Health Center - Medford Dental Center)
- First Impressions of Medford
- Terrie C Flandermeyer, DO
- Linda Ruth Frahm, PT
- Alexandra Janota Gaines, AGACNP-BC
- Odessa M Gallett, RDCD
- Siva Sai Kumar Gandham, DDS
- Gelhaus Dental Clinic S.C.
- Benjamin Ryan Gelhaus, DDS
- Frederick Charles Gelhaus, DDS
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.