| Matthew J Stader, CRNA | |
|
1900 John F Kennedy Rd, Dubuque, IA 52002-3865 | |
| (563) 556-8332 | |
| (563) 556-8334 |
| Full Name | Matthew J Stader |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 John F Kennedy Rd, Dubuque, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205273422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D135182 (Iowa) | Primary |
| Entity Name | Southwest Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831279793 PECOS PAC ID: 3072427772 Enrollment ID: O20031117000839 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20040109000282 |
| Entity Name | Memorial Hospital Of Boscobel |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20160229002869 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Stader, CRNA 1900 John F Kennedy Rd, Dubuque, IA 52002-3865 Ph: (563) 556-8332 | Matthew J Stader, CRNA 1900 John F Kennedy Rd, Dubuque, IA 52002-3865 Ph: (563) 556-8332 |
Anna M Henningsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4500 | |
Brett Maag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St, Suite 300, Dubuque, IA 52001 Phone: 563-557-5991 Fax: 563-589-4078 | |
Coreyne Lynne Kurjatko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Phillip Guillien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 507-459-2358 | |
Terrence J. Hutchcroft, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 | |
James W. Wieters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 |