John A Fafinski

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

015101 Issued in WI

Practice address

4648 W Spencer St
Appleton, WI 54914-9106

Phone

(920) 731-7557

NPI assigned

May 26, 2006

Last updated

Jul 9, 2010By 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

State licenses

Practice roles

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.

• Anesthesia Services of the Fox Valley SC

  • Anesthesiology Physician
  • Oshkosh, WI
  • NPI 1750385597
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1528014008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549018144",
            "telephone_number": "920-426-2211",
            "fax_number": "920-426-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549149106",
            "telephone_number": "920-731-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAFINSKI",
        "first_name": "JOHN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "015101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43272100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express, LTD.
• Eyewear Specialists, Inc
• Rebecca L Fabisch, APNP
• Courtney Garland Fabry, MA, CCC-SLP
• Faces Eyewear, Inc
• Anney Renee Fahrenholz, M.S., BCBA
• James Michael Fakler, D.D.S.
• Taylor Christine Falck, OTR
• Brianna Falk
• Julianne Falleroni, D.O.

• Certified Registered Nurse Anesthetist in Appleton, WI
• Providers in Appleton, 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 Jul 9, 2010; 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.