Active NPI
Gary Stejskal, M.S.
- Counselor
- Cedar Rapids, IA
National Provider Identifier
1992948772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00051
- Practice address
- 1430 2ND Ave SE
Cedar Rapids, IA 52403-2357 - Phone
- (319) 364-7121
- NPI assigned
- Apr 9, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00051 | IA | Primary |
Addresses
Primary practice location
1430 2ND Ave SE
Cedar Rapids, IA 52403-2357
Mailing address
PO Box 1309
Dubuque, IA 52004-1309
Phone (563) 588-0558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00051 | IA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1992948772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520041309",
"telephone_number": "563-588-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 2ND AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032357",
"telephone_number": "319-364-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEJSKAL",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "00051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.