THAD HOLLIST (NPI# 1639521024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639521024 |
| Entity Type | Individual |
| Full Name | THAD HOLLIST |
| Credential | CRNA |
| Practice Address |
115 Falls Ave W Twin Falls ID 83301 |
| Mailing Address |
115 Falls Ave W Twin Falls ID 83301-3115 |
| Practice Telephone | 2087331662 |
| Practice Fax Number | 2087339463 |
| Mailing Telephone | 2087343356 |
| Mailing Fax Number | 2087339463 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01423 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 W Maple St, Farmington, NM 874015630 | 5056096648 | 5056092259 |
| Street Address |
115 FALLS AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745178 | Surgery Center | Clinic/Center | 115 Falls Ave W, Twin Falls, ID 83301 | 2005-10-25 |
| 1356803746 | William F May Md Pa | Orthopaedic Surgery | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2019-04-03 |
| 1790284198 | Rock Creek Anesthesia Services Pllc | Anesthesiology | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2018-02-12 |
| 1922438233 | Russell Rogers | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2013-11-22 |
| 1831467810 | James T Annest Md PC | Anesthesiology | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2011-12-06 |
| 1952683625 | Twin Falls Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2011-09-19 |
| 1508984287 | James T Annest | Anesthesiology | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2007-03-27 |
| 1023170081 | Dale Dickinson, Crna Pa | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2006-12-15 |
| 1285796144 | Bruce Harding Crna Pa | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2006-12-15 |
| 1518030493 | Dale Dickinson | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1689039844 | John Meyers | Nurse Anesthetist, Certified Registered | 1080 Terra Ave, Twin Falls, ID 83301-4712 | 2015-12-15 |
| 1871881375 | Gregory Dean Walton | Nurse Anesthetist, Certified Registered | 801 Pole Line Road West, Twin Falls, ID 83301-5799 | 2011-07-18 |
| 1528576089 | Michael Garbett | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2018-01-18 |
| 1003335209 | Chet Dansie | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2017-09-19 |
| 1184083826 | Dirk Bradley Bahoravitch | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2016-02-22 |
| 1922438233 | Russell Rogers | Nurse Anesthetist, Certified Registered | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2013-11-22 |
| 1043569056 | Brendan Petersen | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2012-09-05 |
| 1881966885 | Eric Leon Bailey | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Magic Valley Anesthesiology Associates, Twin Falls, ID 83301-5810 | 2012-02-06 |
| 1144591892 | David A White | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2012-01-25 |
| 1215208152 | Jason Rojas | Nurse Anesthetist, Certified Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2012-01-24 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.