Okanogan Valley Anesthesia Center for Pain Management PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC

Practice address

208 S Main St
Omak, WA 98841-9755

Phone

(509) 740-2192

Fax

(509) 223-2244

NPI assigned

Oct 2, 2020

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen K Both, CRNANPI 1639584600

Title

Owner/Provider

Phone

(509) 740-2192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen K Both Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Omak, WA
  • NPI 1639584600

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Eric Cy Mathison, CRNA

  • Certified Registered Nurse Anesthetist
  • Omak, WA
  • NPI 1265743645

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1073110029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S MAIN ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419755",
            "telephone_number": "509-740-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S MAIN ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419755",
            "telephone_number": "509-740-2192",
            "fax_number": "509-223-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BOTH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-740-2192",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okanogan Behavioral Healthcare
• Okanogan County Public Hospital District No. 3 (Mid-Valley Hospital)
• Okanogan County Public Hospital District No. 3 (Mid-Valley Medical Group)
• Okanogan Emergency Physicians
• Okanogan Family Planning
• Justyce Diana Olson, MSW
• Omak Alzheimers Care LLC
• Omak Audiology Center, LLC (Omak Audiology Center)
• Omak Health Station Pharmacy
• Omak School District

• Certified Registered Nurse Anesthetist in Omak, WA
• Providers in Omak, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.