Active NPI
John J Cierzan, MD
- Internal Medicine Physician
- Rochester, MN
National Provider Identifier
1609813997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036503
- Practice address
- 210 9TH St SE
Rochester, MN 55904-6425 - Phone
- (507) 288-3443
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036503 | MN | Primary |
Addresses
Primary practice location
210 9TH St SE
Rochester, MN 55904-6425
Mailing address
210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003025200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036503 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Elizabeths Hospital of Wabasha Inc | Current | Accepting new patients | |
| Saint Elizabeths Hospital of Wabasha Inc | Current | Accepting new patients | |
| Saint Elizabeths Hospital of Wabasha Inc | Current | Accepting new patients |
Locations
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
Interoperability endpoints
- jcierzan472624@direct.emplifyhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Wabasha, MN
- NPI 1659355600
-
- Home Health Agency
- Wabasha, MN
- NPI 1053346825
-
- Community/Retail Pharmacy
- Wabasha, MN
- NPI 1912334913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1609813997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046425",
"telephone_number": "507-288-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046425",
"telephone_number": "507-288-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIERZAN",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "036503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003025200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.