SIESTA ANESTHESIA SERVICES (NPI# 1861034662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861034662 |
| Entity Type | Organization |
| Organization Name | SIESTA ANESTHESIA SERVICES |
| Practice Address |
1001 Gateway Ave Bismarck ND 58503-0508 |
| Practice Telephone | 7014710081 |
| Mailing Telephone | 7014710081 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |
| Authorized Official Name | JACQUELINE M MATERI (CRNA PRESIDENT) |
| Authorized Official Telephone | 7014710081 |
| Is Organization Subpart | Y |
| Parent Organization Name | SIESTA ANESTHESIA SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ketamine Care Clinic | Doing Business As Name - Organization |
| Street Address |
1001 GATEWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-0508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104195791 | Amy Leitner | Specialist | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2011-12-28 |
| 1295335727 | Amber Thomas | Nurse Practitioner | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2020-10-26 |
| 1093242471 | Anthony Keith Mitterling | Physical Therapist | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2017-05-17 |
| 1184063000 | Amanda Elizabeth Allmaras | Nurse Practitioner | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1598177891 | Dustin Dominic Goetz | Anesthesiology | 202 E Greenfield Ln, Ste 100, Bismarck, ND 58503-6597 | 2014-05-21 |
| 1063630044 | Helen Dosch, Do, PC | Anesthesiology | 811 E Interstate Ave, Bismarck, ND 58503-1136 | 2007-04-23 |
| 1730109885 | Jeffrey Ronald Cave | Anesthesiology | 310 N. 10th Street, Bismarck, ND 58501-4516 | 2006-07-20 |
| 1396724282 | Todd M Preszler | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-01-10 |
| 1558348193 | Timothy M. Gold | Anesthesiology | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2005-12-26 |
| 1912346792 | Danielle Diane Hohbein | Anesthesiology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2013-06-14 |
| 1447698469 | Patrick Dean Grace | Anesthesiology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2013-06-12 |
| 1255637260 | Nathan Aaron Bro | Anesthesiology | 300 N 7th St, Bismarck, ND 58501-4439 | 2011-02-08 |
| 1336465053 | Carmen Dargis | Anesthesiology | 300 N 7th St, Bismarck, ND 58501-4439 | 2010-04-20 |
| 1013233436 | Amanda Susan Braaten | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-04-09 |
| Find all providers in BISMARCK | ||||
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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.