Rim Country Anesthesia Services PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0525 Issued in AZ

Legal business name

RIM COUNTRY ANESTHESIA SERVICES PC

Practice address

807 S Ponderosa St
Payson, AZ 85541-5542

Phone

(602) 273-6770

Fax

(602) 889-0489

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Kirt M Rosenlof, CRNANPI 1831100536

Title

Owner

Phone

(602) 273-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirt Rosenlof, CRNA

  • Certified Registered Nurse Anesthetist
  • Payson, AZ
  • NPI 1831100536
  Medicare reassignment Authorized official
• Mark Todd Wright, MN, CRNA

  • Certified Registered Nurse Anesthetist
  • Show Low, AZ
  • NPI 1568733137
  Medicare reassignment

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1114110236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PONDEROSA ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415542",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIM COUNTRY ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "ROSENLOF",
        "authorized_official_first_name": "KIRT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-273-6700",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regency Medical Equipment Inc
• Regenthetics, LLC
• Shaylee Renner, DO
• Christopher Ugochukwu Ugorji Rex, M.D.
• Tamara Rike
• Rim Country Rehab, Inc
• Rim Country Rehabilitation, Inc.
• Rim Country Sports Medicine and Orthopedic Surgery
• Robert Rimmer Jr., MD
• Risser Eye Clinic, LLC

• Certified Registered Nurse Anesthetist in Payson, AZ
• Providers in Payson, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.