Stephen C Dungar, M.D.

Key facts

NPI

1912947482

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

28462-20 (WI)

Practice address

1818 N Meade St
Appleton, WI 54911-3454

Phone

(920) 380-1593

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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.

• Association of Hospital Anesthesiologists SC Anesthesiology Physician · Neenah, WI · NPI 1720076474
  Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · WI
• Stephen C Dungar MD SC Anesthesiology Physician · Appleton, WI · NPI 1780621185
  NPD (past) Authorized official ANESTHESIOLOGY
• Nurse Anesthesia Professional Services LLC Certified Registered Nurse Anesthetist · Green Bay, WI · NPI 1992066518
  NPD (past)

Medicare Care Compare profile

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Association of Hospital Anesthesiologists SC (84 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912947482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "address_2": "P O BOX 8031",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115490",
            "telephone_number": "888-883-8533",
            "fax_number": "920-739-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-380-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAR",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "28462-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31409400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Appleton, WI · Anesthesiology Physician in Wisconsin