OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC


Address: 208 S Main St, Omak, WA 98841-9755
Phone: 2604032386

OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC (NPI# 1073110029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073110029
Entity Type Organization
Organization Name OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC
Practice Address 208 S Main St
Omak
WA 98841-9755
Mailing Address 3301 S 14th St Ste 16180
Abilene
TX 79605-5015
Practice Telephone 2604032386
Mailing Telephone 3256605535
Enumeration Date 2020-10-02
Last Update Date 2020-11-01
Authorized Official Name ERIC BOTH (OWNER)
Authorized Official Telephone 2604032386
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
507 Hospital Way, Brewster, WA 988120019 5096892517

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC 105 Viewmont, Okanogan, WA 98840-9424

Office Location

Street Address 208 S MAIN ST
City OMAK
State WA
Zip Code 98841-9755

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508463654 Full Circle Health and Wellness Center Pllp Clinic/Center 208 S Main St, Omak, WA 98841-9755 2020-10-01
1548887771 Broken Oak LLC Pharmacist 208 S Main St, Omak, WA 98841-9755 2020-07-03
1023664083 Kai Forgach Massage Therapist 208 S Main St, Omak, WA 98841-9755 2019-08-15
1639584600 Stephen K Both Jr. Nurse Anesthetist, Certified Registered 208 S Main St, Omak, WA 98841-9755 2014-06-27
1790123123 Cherienne Spangler Massage Therapist 208 S Main St, Omak, WA 98841-9755 2013-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093210908 Kellie Davies Registered Nurse 34 Valley View Dr, Omak, WA 98841 2018-03-24
1356860399 In-home Care of Central Washington In Home Supportive Care 130 N. Main St, Ste 2, Omak, WA 98841 2017-09-11
1538615158 J.r. Craig Webster D.d.s. Preferred Provider Organization 204 West 1st. Street, Omak, WA 98841 2016-09-01
1346638855 Katie Mae Sommers Counselor 1007 Koala Dr, Omak, WA 98841 2015-01-06
1659702157 Omak Audiology Center, LLC Audiologist-Hearing Aid Fitter 506 Riverside Drive, # B, Omak, WA 98841 2013-12-09
1265878417 Stephen Cavender Counselor 1007 Koala Dr., Omak, WA 98841 2013-05-15
1467793497 Kenari Breshem Massage Therapist 25 Ash St, Omak, WA 98841 2013-03-15
1710282645 Jodie Dawn Field Counselor 17 N. Ash, Omak, WA 98841 2011-01-25
1720391659 Providence Health & Services Internal Medicine 629 Jasmine St, Omak, WA 98841 2010-07-20
1871826453 Stephanie Dawn Swezey Specialist 670 Riverside Drive, Omak, WA 98841 2009-09-14
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770121089 Bradley Goll Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2019-12-17
1639584600 Stephen K Both Jr. Nurse Anesthetist, Certified Registered 208 S Main St, Omak, WA 98841-9755 2014-06-27
1649680620 Brian R. Knopp Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841 2014-04-30
1588086722 Daniel Garrison Crosby Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2014-01-07
1265743645 Eric Cy Mathison Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2010-06-30
1376873844 Jacob R Irving Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2010-01-06
1144467713 John Victor Cowley Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2009-01-19
1710132451 Lance David Griffin Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2008-11-21
1356559280 Laurie Marie Duff Nurse Anesthetist, Certified Registered 810 Jasmine St, Omak, WA 98841-9578 2007-05-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871109835 Mandy Lynn Engel Nurse Anesthetist, Certified Registered 5366 93rd Pl Sw, Mukilteo, WA 98275-3610 2020-09-16
1447872148 Hs Orion Enterprises, LLC Nurse Anesthetist, Certified Registered 1120 N Pines Rd Ste 102, Spokane Valley, WA 99206-4942 2020-05-15
1457982308 Salish Sedation Services, Pllc Nurse Anesthetist, Certified Registered 2930 Squalicum Pkwy Ste 202, Bellingham, WA 98225-1854 2020-01-30
1063043982 Jose Daniel Olivera Nurse Anesthetist, Certified Registered 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 2020-01-29
1750844312 Amanda Marie Barrett Nurse Anesthetist, Certified Registered 11632 3rd St Ne, Lake Stevens, WA 98258-9716 2019-04-10
1154883320 Zen Anesthesia LLC Nurse Anesthetist, Certified Registered 417 145th Ave Ne, Bellevue, WA 98007-4927 2019-04-04
1831651009 Pacific Rim Anesthesia Services Pllc Nurse Anesthetist, Certified Registered 1427 Jefferson Ave Ste 101, Enumclaw, WA 98022-3649 2019-04-04
1386105633 Frische Inc Nurse Anesthetist, Certified Registered 3100 Carillon Pt Ste 3100, Kirkland, WA 98033-7306 2019-03-28
1942765359 Ethereal Anesthesia Pllc Nurse Anesthetist, Certified Registered 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 2019-02-11
1548758733 Empire of Daft Anesthesia, LLC Nurse Anesthetist, Certified Registered 24622 214th Ave Se, Maple Valley, WA 98038-8507 2018-04-24
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City OMAK
Zip Code 98841

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Dataset Information

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.

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