Mark L Edlefsen (NPI# 1265679856, PAC ID# 2264597962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1265679856 |
| PAC ID by PECOS | 2264597962 |
| Professional Enrollment ID | I20090212000395 |
| Full Name | Mark L Edlefsen |
| Organization Legal Name | EAST IDAHO ANESTHESIA ASSOCIATES PC |
| Address |
350 N Meridian St Blackfoot ID 83221-1625 |
| Phone Number | 2087822900 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5890957716 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 N Meridian St, Blackfoot, ID 83221-1625 | 2087822900 | EAST IDAHO ANESTHESIA ASSOCIATES PC |
| 98 Poplar St, Blackfoot, ID 83221-1758 | 2087853830 | EAST IDAHO ANESTHESIA ASSOCIATES PC |
| Organization Legal Name | EAST IDAHO ANESTHESIA ASSOCIATES PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Street Address |
350 N MERIDIAN ST |
| City | BLACKFOOT |
| State | ID |
| Zip | 83221-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dee S Stevens | Chiropractic | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | |
| Anne M Preston | Clinical Social Worker | Portneuf Valley Family Center, Inc. | 1495 Pkwy Dr C, Blackfoot, ID 83221-1639 |
| Dennis N Marshall | Optometry | 1495 Pkwy Dr, Suite A, Blackfoot, ID 83221-1639 | |
| Darin G Gambles | Podiatry | 1495 Pkwy Dr B, Parkway Foot and Ankle Pllc, Blackfoot, ID 83221-1639 | |
| Nicholas J Blight | Optometry | Advanced Eyecare of Blackfoot Pllc | 1213 Pkwy Dr, Blackfoot, ID 83221-1654 |
| Jason N Hurley | Optometry | Advanced Eyecare of Blackfoot Pllc | 1213 Pkwy Dr, Blackfoot, ID 83221-1654 |
| Kaitlin Bl Vail | Physical Therapy | Rocky Mountain Physical Therapy Pllc | 1441 Pkwy Dr, Suite 1, Blackfoot, ID 83221-1667 |
| Daric J Russell | Pain Management | Mountain View Hospital LLC | 1425 Pkwy Dr, Blackfoot, ID 83221-1667 |
| James W Taylor | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Heather F Grimmett | Physician Assistant | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Find all physicians in zip 83221 | |||
| City | BLACKFOOT |
| Zip Code | 83221 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BLACKFOOT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mark L Edlefsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.