RIVER OF NO RETURN ANESTHESIA (NPI# 1518126119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518126119 |
| Entity Type | Organization |
| Organization Name | RIVER OF NO RETURN ANESTHESIA |
| Practice Address |
203 S Daisy St Salmon ID 83467 |
| Mailing Address |
42 Wild Rose Rd Salmon ID 83467-5277 |
| Practice Telephone | 2087565600 |
| Mailing Telephone | 2087562429 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | CECIL T. JACKSON (CEO) |
| Authorized Official Telephone | 2087562429 |
| Authorized Official Credential | C.R.N.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA-411 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 8M665 | 01 |
| ID | OTH000 | 05 |
| Street Address |
203 S DAISY ST |
| City | SALMON |
| State | ID |
| Zip Code | 83467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149887 | Joel V Dye | Anesthesiology | 203 S Daisy St, Salmon, ID 83467-0000 | 2005-10-26 |
| 1245841519 | Megan S Koyle | Occupational Therapist | 203 S Daisy St, Salmon, ID 83467-4709 | 2020-08-11 |
| 1477161693 | Meghan Kratofil | Occupational Therapist | 203 S Daisy St, Salmon, ID 83467-4709 | 2020-07-14 |
| 1255960688 | Tevagene Bragg | Physical Therapy Assistant | 203 S Daisy St, Salmon, ID 83467-4709 | 2020-04-07 |
| 1891324828 | Jeanna Ritter | Speech-Language Pathologist | 203 S Daisy St, Salmon, ID 83467-4709 | 2020-04-02 |
| 1649643594 | Cynthia Grier | Physical Therapist | 203 S Daisy St, Salmon, ID 83467-4709 | 2015-11-01 |
| 1417397001 | Joseph James Krakker IIi | Family Medicine | 203 S Daisy St, Salmon, ID 83467-4709 | 2013-06-27 |
| 1083776157 | Linda J Powell | Family Medicine | 203 S Daisy St, Salmon, ID 83467-4709 | 2006-12-15 |
| 1831270073 | Kelly C Phelps | Emergency Medicine | 203 S Daisy St, Salmon, ID 83467-0000 | 2006-10-17 |
| 1851403265 | Steele Memorial Medical Center | General Acute Care Hospital | 203 S Daisy St, Salmon, ID 83467-0000 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1790204881 | Annah Benedict Dahle | Physical Therapist | Porgy & Petunia's Pediatric Therapy 111 E Lillian, Suite 8, Salmon, ID 83467 | 2017-09-11 |
| 1912436395 | Georgena Yanoff | Occupational Therapist | 516 Main Street #103, Salmon, ID 83467 | 2017-06-08 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1689098964 | Aspen Meadows Home Care LLC | In Home Supportive Care | 104 South Warpath, Salmon, ID 83467 | 2014-02-07 |
| 1366799827 | Physical Therapy Clinic,inc. | Clinic/Center | 802 Shoup Street, Salmon, ID 83467 | 2012-08-14 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1972767531 | Katherine I Contway | Social Worker | 204 Courthouse Dr, Salmon, ID 83467 | 2008-07-14 |
| 1215135017 | Annie J Allen | Acupuncturist | 111 Lillian Street, Suite 211, Salmon, ID 83467 | 2007-07-03 |
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| Find all providers in zip 83467 | ||||
| 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 |
|---|---|---|---|---|
| 1477562585 | Daniel C. Mcclenahan | Nurse Anesthetist, Certified Registered | 16 Eli Ln, Salmon, ID 83467-5094 | 2006-08-07 |
| 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 |
| 1013482207 | Griffin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1157 Call Pl, Pocatello, ID 83201-4008 | 2018-10-04 |
| 1134630320 | Highline Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1225 Old Oregon Rd, Soda Springs, ID 83276-5608 | 2017-10-16 |
| 1598208795 | Ryan Steed | Nurse Anesthetist, Certified Registered | 4248 E Tahiti St, Meridian, ID 83646-6341 | 2016-11-21 |
| 1689039844 | John Meyers | Nurse Anesthetist, Certified Registered | 1080 Terra Ave, Twin Falls, ID 83301-4712 | 2015-12-15 |
| 1972976637 | Richardson Enterprises, Inc. | Nurse Anesthetist, Certified Registered | 319 115th St, Orofino, ID 83544-9375 | 2015-11-03 |
| 1467863829 | Grant Gundersen | Nurse Anesthetist, Certified Registered | 646 W 300 S, Blackfoot, ID 83221-6334 | 2014-05-19 |
| 1871918318 | West Idaho Anesthesia, LLP | Nurse Anesthetist, Certified Registered | 3115 Medical Dr, Caldwell, ID 83605-6972 | 2014-02-20 |
| 1871925057 | Dewey Michael Driscoll | Nurse Anesthetist, Certified Registered | 333 North 18th, Bldg A, Pocatello, ID 83201 | 2013-07-30 |
| 1225473069 | Brinton Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 1828 S Millenium Way, Meridian, ID 83642-5036 | 2013-05-07 |
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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.