ANESTHESIA ASSOCIATES OF BOISE, P.A. (NPI# 1033147467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033147467 |
| Entity Type | Organization |
| Organization Name | ANESTHESIA ASSOCIATES OF BOISE, P.A. |
| Practice Address |
338 E Bannock St Boise ID 83712-6207 |
| Practice Telephone | 2083360895 |
| Practice Fax Number | 2083381796 |
| Mailing Telephone | 2083360895 |
| Mailing Fax Number | 2083381796 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | MR. LOREN G HINGER (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2083360895 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002358300 | 05 | |
| ID | 002359600 | 05 |
| Street Address |
338 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568413052 | Barbara J Tesnohlidek | Anesthesiology | 338 E Bannock St, Boise, ID 83712-6207 | 2006-05-12 |
| 1043727902 | Robert Erron Cooks | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2018-01-01 |
| 1740794205 | Clint Levi Hurst | Registered Nurse | 338 E Bannock St, Boise, ID 83712-6207 | 2017-11-20 |
| 1346769510 | Katie Elliott | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-09-19 |
| 1487181145 | Holly Humphreys | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-05-12 |
| 1477088201 | Keely Cardwell | Registered Nurse | 338 E Bannock St, Boise, ID 83712-6207 | 2017-04-30 |
| 1366976151 | Mendy Williams | Student in an Organized Health Care Education/Training Program | 338 E Bannock St, Boise, ID 83712-6207 | 2017-04-18 |
| 1295267029 | Daniel Ewing Clark | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-03-30 |
| 1114468451 | Lauren Luebbe Price | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-03-20 |
| 1679011183 | Bradley Lau | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| Find all providers in BOISE | ||||
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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.