Jerry Jay Zwak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R026839 Issued in SD

Practice address

208 Linden Dr
Madison, SD 57042-7342

Phone

(605) 381-3892

NPI assigned

Oct 13, 2005

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Gerald Jay Zwak Jr. Other name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Community HospitalGroup PAC ID 3779579743, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Regional Health System Hospital, Madison, SD, CCN 431300

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Madison Community Hospital

  dba Madison Regional Health System

  • Critical Access Hospital
  • Madison, SD
  • NPI 1588644058
  Medicare reassignment Care Compare group NPD
• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment NPD
• Sacred Heart Health Services

  dba Avera Sacred Heart Hospital

  • Emergency Care Clinic/Center
  • Yankton, SD
  • NPI 1861611683
  Medicare reassignment NPD
• Jerry Zwak Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Fairmont, MN
  • NPI 1457872996
  Authorized official Same address or phone
• Avera St Marys

  dba Avera St Marys Hospital ER CRNA

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496

  Nurse Anesthetist, Certified Registered

  NPD
• Avera St. Mary's

  dba Avera Therapy

  • Physical Therapist
  • Pierre, SD
  • NPI 1972082683
  NPD
• Madison Community Hospital

  dba d/b/a Madison Regional Health System

  • Home Health Agency
  • Madison, SD
  • NPI 1962472530
  NPD
• Sacred Heart Health Services

  • General Practice Physician
  • Yankton, SD
  • NPI 1205703659
  NPD
• Sacred Heart Health Services

  dba Avera Family Medicine Yankton

  • Clinic/Center
  • Yankton, SD
  • NPI 1578004883
  NPD
• Anesthesia Solutions, PC

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
  • NPI 1073817870

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Community Hospital

  dba Madison Regional Health System

  • Critical Access Hospital
  • Madison, SD
  • NPI 1588644058
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1518955533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LINDEN DR",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570427342",
            "telephone_number": "605-381-3892",
            "fax_number": "507-562-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LINDEN DR",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570427342",
            "telephone_number": "605-381-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWAK",
        "first_name": "JERRY",
        "middle_name": "JAY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 140763-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R026839",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "21348.0796",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R29810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "ZWAK",
            "middle_name": "JAY",
            "suffix": "JR.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica C Woodruff
• Tucker Michael Wrage, NREMT, CNA
• Samantha Wulff, M.A. CF-SLP
• Jacqueline M Wyatt, BS
• Donilyn L Ziebarth, PA-C

• Certified Registered Nurse Anesthetist in Madison, SD
• Providers in Madison, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.