Grand Mesa Anesthesia Assoc, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

75028 Issued in CO

Legal business name

GRAND MESA ANESTHESIA ASSOC, INC

Practice address

1501 E 3Rd Street
Delta County Memorial Hospital
Delta, CO 81416-2815

Phone

(970) 874-7681

Fax

(970) 874-2227

NPI assigned

Sep 25, 2007

Last updated

Oct 9, 2008By 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

Jerald Martin Young, CRNANPI 1528190238

Title

Owner

Phone

(970) 856-6519

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jerald Martin Young, CRNA

  • Certified Registered Nurse Anesthetist
  • Delta, CO
  • NPI 1528190238

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1083801815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-856-6519",
            "fax_number": "970-856-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD STREET",
            "address_2": "DELTA COUNTY MEMORIAL HOSPITAL",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-7681",
            "fax_number": "970-874-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MESA ANESTHESIA ASSOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-856-6519",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "75028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Raymond Giles
• Kelly Leigh Giuliani, DO
• Sara Dawn Gonzalez, APN-C
• Michelle B Gordon, MD
• Kari Graceland Ritter
• Grand Mesa Dental Hygiene, LLC
• Grand Valley Wellness, LLC
• Mariah Granzella
• Sharon Gray
• Great Experiences Counseling LLC

• Certified Registered Nurse Anesthetist in Delta, CO
• Providers in Delta, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.