ROCKY MOUNTAIN STATE ANESTHESIA PROVIDERS (NPI# 1659904357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659904357 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN STATE ANESTHESIA PROVIDERS |
| Practice Address |
4700 Lady Moon Dr Fort Collins CO 80528-4426 |
| Mailing Address |
Po Box 1786 Fort Collins CO 80522-1786 |
| Practice Telephone | 9708214000 |
| Mailing Telephone | 8556545262 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MARIO JOSEPH CARMOSINO (PRESIDENT) |
| Authorized Official Telephone | 3036671671 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823549 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 4397 Ronald Reagan Blvd, Johnstown, CO 80534-6445 | 2020-02-20 |
| 1710510417 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 2555 E 13th St Ste 200, Loveland, CO 80537-5136 | 2020-02-20 |
| 1912530619 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 2000 Boise Ave, Loveland, CO 80538-5006 | 2020-02-20 |
| 1184257883 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-02-20 |
| 1730692054 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 1801 16th St, Greeley, CO 80631-5154 | 2017-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rocky Mountain State Anesthesia Providers, PLLC | 1749 Norwood Lane, Fort Collins, CO 80525 |
| Street Address |
4700 LADY MOON DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1770192288 | Tracy J Hall | Registered Nurse | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-07-30 |
| 1568086890 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-06-02 |
| 1639705999 | Michelle Powers | Occupational Therapist | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-03-19 |
| 1912568866 | Stephanie Anne Martin | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2019-06-21 |
| 1881166593 | Noco Newco, LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2018-12-19 |
| 1124532924 | Banner Health | Ambulance | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-12-01 |
| 1538688239 | Banner Fort Collins Medical Center | Clinical Medical Laboratory | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-09-13 |
| 1043673403 | Kymberlee Royals | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-04-03 |
| 1467812404 | Kristina Kinney | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275996274 | Susan Jeffers | Anesthesiology | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2016-03-29 |
| 1922054741 | Robert Andrew Vance | Anesthesiology | 1236 E Elizabeth St Ste 1, Fort Collins, CO 80524-4000 | 2006-05-25 |
| 1124016753 | Emily C. Richardson | Anesthesiology | 1236 E Elizabeth St Ste 2, Fort Collins, CO 80524-4000 | 2005-10-07 |
| 1346238136 | George Edward Girardi | Anesthesiology | 3744 S. Timberline Rd, Suite 102, Fort Collins, CO 80525-4334 | 2005-10-06 |
| 1851389613 | Northern Colorado Anesthesia Professionals Pllc | Anesthesiology | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2005-10-06 |
| 1063409860 | Richard Donald Alessi | Anesthesiology | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2005-10-05 |
| 1912900804 | Nanette C Colip | Anesthesiology | 1332 Forrestal Dr, Fort Collins, CO 80526-9662 | 2005-05-24 |
| 1043673403 | Kymberlee Royals | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-04-03 |
| 1700267945 | Jacquelyn Dorenkamp | Anesthesiology | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2015-06-12 |
| 1063892289 | Lauren Biedermann Walls | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528 | 2015-06-03 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on ROCKY MOUNTAIN STATE ANESTHESIA PROVIDERS.
| 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.