MARK ALAN PENDLETON (NPI# 1316570757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316570757 |
| Entity Type | Individual |
| Full Name | MARK ALAN PENDLETON |
| Practice Address |
777 Hospital Way Pocatello ID 83201-5175 |
| Mailing Address |
Po Box 558 Rigby ID 83442-0558 |
| Practice Telephone | 0823910562 |
| Practice Fax Number | 2082393626 |
| Mailing Telephone | 3072480283 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 130808 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776678 | Mark G Pendleton | Clinical Neuropsychologist | 3015 47th Street Suite E-3, Boulder, CO 80301-5437 | 2006-01-30 |
| Street Address |
777 HOSPITAL WAY |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825892 | Gregory S Harrison | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2005-07-15 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1508413220 | Hilary Worthen | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-08-19 |
| 1437612447 | Walter S Medlin Md PC | Surgery | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-04-08 |
| 1396203428 | Amber Frost | Family Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-03-07 |
| 1649756404 | Kamilla Gundersen | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83207 | 2018-07-16 |
| 1043716285 | Brice Anderson | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-04-05 |
| 1851808133 | Rocky Mountain Physician Group LLC | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-08 |
| 1154838886 | Mark Willis | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-03 |
| 1588187892 | Rachel Goulart | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2017-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1013482207 | Griffin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1157 Call Pl, Pocatello, ID 83201-4008 | 2018-10-04 |
| 1871925057 | Dewey Michael Driscoll | Nurse Anesthetist, Certified Registered | 333 North 18th, Bldg A, Pocatello, ID 83201 | 2013-07-30 |
| 1003380783 | Edwards Enterprises LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2019-01-16 |
| 1407353428 | Advanced Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2018-04-06 |
| 1588160881 | Daniel Anesthesia PC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2018-04-04 |
| 1780062588 | Kezele Anesthetics, P.C. | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-12 |
| 1356728810 | Anesthesia Zzz LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-04 |
| 1497154207 | Richard Aaron Marler | Nurse Anesthetist, Certified Registered | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-08-18 |
| 1144652694 | Timothy Morgan Naylor | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2013-08-07 |
| 1568802569 | Kenneth Michael Knapp | Nurse Anesthetist, Certified Registered | 333 N 18th Ave Ste A, Pocatello, ID 83201-3358 | 2013-07-05 |
| Find all providers in POCATELLO | ||||
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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.