MR. MARK W HEDELIUS (NPI# 1417428194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417428194 |
| Entity Type | Individual |
| Full Name | MR. MARK W HEDELIUS |
| Credential | CRNA |
| Practice Address |
3000 N Triumph Blvd Lehi UT 84043-4999 |
| Mailing Address |
Po Box 3750 Salt Lake City UT 84110-3750 |
| Practice Telephone | 3853453000 |
| Practice Fax Number | 7707016676 |
| Mailing Telephone | 8007484868 |
| Mailing Fax Number | 7707016676 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 8006124-3102 | UT | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 8006124-4406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DOPL | 8006124-3102 | 01 |
| Street Address |
3000 N TRIUMPH BLVD |
| City | LEHI |
| State | UT |
| Zip Code | 84043-4999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124134325 | Michael Brandon Hall | Family Medicine | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2006-08-21 |
| 1376187757 | Tyler Murray | Nurse Practitioner | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2019-10-29 |
| 1821642802 | Kristina Gowen | Dietitian, Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2019-07-29 |
| 1265997985 | Paul Wendell Nicholson | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2019-02-06 |
| 1134691710 | Mark Harris | Registered Nurse | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2018-12-20 |
| 1407365752 | Timothy I Macnair | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2017-09-29 |
| 1750808150 | Catherine Grace Rawson | Registered Nurse | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2017-08-25 |
| 1134649767 | Katherine Marie Barber-black | Speech-Language Pathologist | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2017-06-24 |
| 1235676149 | Utah Gastroenterology P C | Internal Medicine | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2017-01-30 |
| 1548702343 | Farrah Lee Chong Hudson | Physical Therapist | 3000 N Triumph Blvd, Suite 310, Lehi, UT 84043-4999 | 2016-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
| 1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
| 1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
| 1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
| 1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
| 1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
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| 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 |
|---|---|---|---|---|
| 1851721013 | Todd Michael Wiese | Nurse Anesthetist, Certified Registered | 3000 Triumph Boulevard, Lehi, UT 84043 | 2013-11-25 |
| 1265997985 | Paul Wendell Nicholson | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2019-02-06 |
| 1407365752 | Timothy I Macnair | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2017-09-29 |
| 1780133082 | Victoria Cardona | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2016-09-27 |
| 1508312695 | Brady W Sprague | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2016-08-29 |
| 1093188310 | Jenna Coil | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2015-11-09 |
| 1730557133 | Ryan Sargent | Nurse Anesthetist, Certified Registered | 3340 N Center St Ste 800, Lehi, UT 84043 | 2015-09-02 |
| 1134557853 | Jonathan D Mann | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2013-10-15 |
| 1649619602 | Jennifer Brooke Suarez Smith | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2013-06-22 |
| 1588958938 | Andrew Russell Hatch | Nurse Anesthetist, Certified Registered | 3000 N Triumph Blvd, Lehi, UT 84043 | 2011-06-02 |
| Find all providers in LEHI | ||||
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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.