Grand Forks Anesthesia Services PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R22456 Issued in ND

Legal business name

GRAND FORKS ANESTHESIA SERVICES PC

Practice address

3035 Demers Ave
Grand Forks, ND 58201-4040

Phone

(701) 775-3151

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Lori Bazey, CRNA

Title

Owner

Phone

(218) 779-9048

Specialties & licenses 1

Addresses

Other identifiers 5

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

• Darla J Adams, CRNA

  • Certified Registered Nurse Anesthetist
  • Grand Forks, ND
  • NPI 1497862049

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1124135546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 DESERT STAR LN",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015823",
            "telephone_number": "701-746-7441",
            "fax_number": "701-746-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014040",
            "telephone_number": "701-775-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND FORKS ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BAZEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-779-9048",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R22456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "765D7GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ6769",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010322500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05522001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11925",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Grabanski
• Hayle Gracy
• Madeline C Graff, MOTR/L
• Korie Graham, COTA
• Grand Forks Anesthesia Associates
• Grand Forks Chiropractic
• Grand Forks Clinic Pharmacy
• Grand Forks Counseling and Therapy PLLC
• Grand Forks County Social Services
• Grand Forks Foot and Ankle Clinic, PLLC

• All providers in Grand Forks, ND
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.