ART OF MODERN ANESTHESIA PC (NPI# 1063824969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063824969 |
| Entity Type | Organization |
| Organization Name | ART OF MODERN ANESTHESIA PC |
| Practice Address |
3480 Washington Blvd Ste 105 Ogden UT 84401-4149 |
| Mailing Address |
Po Box 837 Ogden UT 84402-0837 |
| Practice Telephone | 8013920385 |
| Mailing Telephone | 8013920385 |
| Mailing Fax Number | 8013933334 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | MANARDIE FRANCIS SHIMATA (OWNER) |
| Authorized Official Telephone | 8013920385 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2775864406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3480 WASHINGTON BLVD STE 105 |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535932 | Richard A Boyce | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2005-08-12 |
| 1083062319 | Laura Farley Crna Pllc | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2016-05-26 |
| 1902264427 | 3 2 1 Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2016-01-29 |
| 1346616059 | Nancy L. Knape, PC | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2015-08-17 |
| 1386010098 | Laurence S Burdett Md PC | Anesthesiology | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2015-08-17 |
| 1366849465 | Sl Anesthesia | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2014-12-04 |
| 1770999807 | Mt Ogden Anesthesia Group LLC | Anesthesiology | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2014-07-09 |
| 1043621774 | Art of Anesthesia P.c | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2014-05-15 |
| 1790976801 | Richard Boyce Crna PC | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2007-08-05 |
| 1467454918 | Laurence S Burdett | Specialist | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1053551531 | Krystal Mae Tipping | Nurse Anesthetist, Certified Registered | 200 S 1500 W, Ogden, UT 84404 | 2009-02-24 |
| 1376686725 | Scott D Whitaker | Nurse Anesthetist, Certified Registered | 268 W 4050 N, Ogden, UT 84414-1182 | 2007-02-15 |
| 1275535932 | Richard A Boyce | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2005-08-12 |
| 1083062319 | Laura Farley Crna Pllc | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2016-05-26 |
| 1902264427 | 3 2 1 Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2016-01-29 |
| 1346616059 | Nancy L. Knape, PC | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2015-08-17 |
| 1366849465 | Sl Anesthesia | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2014-12-04 |
| 1043621774 | Art of Anesthesia P.c | Nurse Anesthetist, Certified Registered | 3480 Washington Blvd Ste 105, Ogden, UT 84401-4149 | 2014-05-15 |
| 1972825370 | Cbt Anesthesia, PC | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2010-02-25 |
| 1790010239 | Stimpson Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2009-10-15 |
| Find all providers in OGDEN | ||||
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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.