Animas Anesthesia Associates LLC
Organization Active NPI Anesthesiology Physician · Durango, CO
NPI 1104148642 · NPPES record last updated Jan 16, 2026
Key facts
- NPI
- 1104148642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANIMAS ANESTHESIA ASSOCIATES LLC
- Practice address
- 2 Burnett CT
Durango, CO 81301-3647 - Phone
- (843) 651-2624
- Fax
- (843) 357-4940
- NPI assigned
- Feb 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Member of 2
Practitioners 10
-
Brenda Creitz, CRNA
-
Rachel Renee Wallace, CRNA
-
Laura Chase, CRNA
-
Laird Ian Clark, CRNA
-
Aida Yohannes, CRNA
-
Charlie S. Blalock, CRNA
-
William J Hartman, CRNA
-
Stetler Ladd Shumway, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101129000104 | CO | Part B Supplier - Clinic/Group Practice | 2668668997 |
Receives reassigned benefits from 10 practitioners Practice locations: Durango, CO |
National Provider Directory
Locations
2 Burnett Ct
Durango, CO 81301
Phone (970) 385-4022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
2 Burnett CT
Durango, CO 81301-3647
Mailing address
6330 S Western Ave Ste 150
Sioux Falls, SD 57108-3411
Phone (970) 247-3537
Other providers in Durango, CO
- William Deaton Anderson
- Bruce E Andrea
- Ashlie A Angel
- Luke Joseph Angel
- Animas ABA LLC
- Animas Chiropractic PLLC
- Animas City Physical Therapy and Training Center, Inc.
- Animas Emergency Physicians, LLC
- Animas Eye Care, PC
- Animas Foot and Ankle
All providers in Durango, CO · Anesthesiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.