MR. BRUCE J STUPICA (NPI# 1518060003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518060003 |
| Entity Type | Individual |
| Full Name | MR. BRUCE J STUPICA |
| Credential | CRNA |
| Practice Address |
301 2nd St Ne New Prague MN 56071-1709 |
| Practice Telephone | 9527584431 |
| Practice Fax Number | 9527587876 |
| Mailing Telephone | 9527584431 |
| Mailing Fax Number | 9527587876 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R 083499-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 2ND ST NE |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505246 | Sarah L Kratz | Internal Medicine | 301 2nd St Ne, New Prague, MN 56071-1709 | 2005-06-01 |
| 1619528734 | James Matthew Glogowski | Nurse Anesthetist, Certified Registered | 301 2nd St Ne, New Prague, MN 56071-1709 | 2019-09-20 |
| 1275014144 | Elizabeth Anna Holmquist | Nurse Practitioner | 301 2nd St Ne, New Prague, MN 56071-1709 | 2018-08-28 |
| 1447762851 | Lois A Huber | Physical Therapy Assistant | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-26 |
| 1659882223 | Colleen Marie Turner | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-23 |
| 1578074019 | Tamera Ann Novak | Occupational Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-23 |
| 1699286385 | Heidi Bell | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-20 |
| 1467963272 | Stephanie Nicole Gill | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-19 |
| 1477089407 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-05-11 |
| 1861936932 | Ellen Shea Kelly | Pharmacist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| 1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
| 1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
| 1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
| 1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
| 1285728352 | Joel Gary Erickson | Chiropractor | 314 Main St E Suite 2, New Prague, MN 56071 | 2006-10-03 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1275195737 | Mosaic Family Services, Ltd. | Counselor | 1405 East Main Street, New Prague, MN 56071 | 2019-07-05 |
| 1295805331 | Renae Madison Gage | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-11-08 |
| Find all providers in zip 56071 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528734 | James Matthew Glogowski | Nurse Anesthetist, Certified Registered | 301 2nd St Ne, New Prague, MN 56071-1709 | 2019-09-20 |
| 1609979194 | Carmelle A Mcharg | Nurse Anesthetist, Certified Registered | 301 2nd Street Ne, New Prague, MN 56071 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW PRAGUE |
| Zip Code | 56071 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.