Organization Active NPI

Art of Anesthesia P.C

  • Certified Registered Nurse Anesthetist
  • Ogden, UT
National Provider Identifier
1043621774
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ART OF ANESTHESIA P.C
Practice address
3480 Washington Blvd Ste 105
Ogden, UT 84401-4149
Phone
(801) 392-0385
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Manardie Francis Shimata, CRNA
Title
Owner
Phone
(801) 392-0385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Mailing address

PO Box 837
Ogden, UT 84402-0837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1043621774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WASHINGTON BLVD STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014149",
            "telephone_number": "801-392-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF ANESTHESIA P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "SHIMATA",
        "authorized_official_first_name": "MANARDIE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-392-0385",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.