OVERTON-STIFF PROFESSIONAL ANESTHESIA SERVICE LTD (NPI# 1417065152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417065152 |
| Entity Type | Organization |
| Organization Name | OVERTON-STIFF PROFESSIONAL ANESTHESIA SERVICE LTD |
| Practice Address |
6302 Talcrest Boise ID 83713-1207 |
| Mailing Address |
Po Box 2203 Idaho Falls ID 83403-2203 |
| Practice Telephone | 2089393255 |
| Mailing Telephone | 2085252090 |
| Mailing Fax Number | 2085238978 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | MARGUERITE OVERTON (PRESIDENT) |
| Authorized Official Telephone | 2089393255 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | N25778 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6302 TALCREST |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
|---|---|---|---|---|
| 1134764293 | Steven J Berg Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 360 E Mallard Dr Ste 125, Boise, ID 83706-3941 | 2019-11-13 |
| 1760584486 | Margaret Minnaert | Nurse Anesthetist, Certified Registered | 1400 W Bannock St, Boise, ID 83702-5233 | 2006-09-02 |
| 1891803482 | Walter R Fetterley II | Nurse Anesthetist, Certified Registered | 621 Reserve St, Boise, ID 83712-6354 | 2006-08-25 |
| 1326155698 | Rocky N Vulgamore | Nurse Anesthetist, Certified Registered | 5583 N Crimson Way, Boise, ID 83703-2840 | 2006-08-24 |
| 1801802376 | Sherry Elizabeth Swearngin | Nurse Anesthetist, Certified Registered | 1698 E Seaport Ct, Boise, ID 83706-6333 | 2006-08-01 |
| 1093736290 | Betty Jean Brosh-schoenecker | Nurse Anesthetist, Certified Registered | 10447 W Bucktail Dr, Boise, ID 83714-9522 | 2006-07-22 |
| 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 |
| 1689287021 | Brian Jones | Nurse Anesthetist, Certified Registered | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2020-08-25 |
| 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.