Individual provider Active NPI

Greg L Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Oak City, UT
National Provider Identifier
1013156561
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5680456-4406 Issued in UT
Practice address
150 S 100 W
Oak City, UT 84649-0045
Phone
(435) 406-6641
NPI assigned
Feb 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5680456-4406 UT Primary

Addresses

Primary practice location

150 S 100 W
Oak City, UT 84649-0045

Mailing address

PO Box 54
Oak City, UT 84649-0045
Phone (435) 406-6641

Other names 1

  • Sandman Anesthesia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090416000405 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406903046 Reassigns benefits to 2 organizations
I20090923000407 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406903046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians
Innovative Anesthesia Solutions PLLCGroup PAC ID 2062817760, 4 clinicians

Practice addresses (Care Compare)

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

676 S Bluff St
Suite 101
St George, UT 84770-3512
Phone (435) 673-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as group
Quality
61.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Anesthesia Solutions PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Amsurg St George Anesthesia, LLC CurrentSince Mar 23, 2012 Accepting new patients

Locations

676 S Bluff St
Ste 101
St George, UT 84770
Phone (435) 673-0095

368 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 674-3109

1791 E 280 N
St George, UT 84790
Phone (435) 628-4429

585 E Riverside Dr
St George, UT 84790
Phone (435) 673-8080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1013156561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "OAK CITY",
            "state": "UT",
            "postal_code": "846490045",
            "telephone_number": "435-406-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 100 W",
            "city": "OAK CITY",
            "state": "UT",
            "postal_code": "846490045",
            "telephone_number": "435-406-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "GREG",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5680456-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDMAN",
            "last_name": "ANESTHESIA",
            "credential": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.