MR. ROCKY N VULGAMORE


Address: 5583 N Crimson Way, Boise, ID 83703-2840
Phone: 2088665026

MR. ROCKY N VULGAMORE (NPI# 1326155698) 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) 1326155698
Entity Type Individual
Full Name MR. ROCKY N VULGAMORE
Practice Address 5583 N Crimson Way
Boise
ID 83703-2840
Practice Telephone 2088665026
Enumeration Date 2006-08-24
Last Update Date 2009-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RNA-363 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 805574900 05

Office Location

Street Address 5583 N CRIMSON WAY
City BOISE
State ID
Zip Code 83703-2840

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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.

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1417065152 Overton-stiff Professional Anesthesia Service Ltd Nurse Anesthetist, Certified Registered 6302 Talcrest, Boise, ID 83713-1207 2006-08-25
1891803482 Walter R Fetterley II Nurse Anesthetist, Certified Registered 621 Reserve St, Boise, ID 83712-6354 2006-08-25
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1477583649 Derek G Dennis Nurse Anesthetist, Certified Registered 2537 W State St, Boise, ID 83702-2200 2006-07-04
1851369805 Willam Heady Nurse Anesthetist, Certified Registered 7154 W State St #369, Boise, ID 83714-7421 2006-03-08
1710980537 Christopher J Sours Nurse Anesthetist, Certified Registered 501 W Fort St, Boise, ID 83702-4502 2005-05-24
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City BOISE
Zip Code 83703

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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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