Steven J Berg Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

STEVEN J BERG ANESTHESIA PLLC

Practice address

360 E Mallard Dr Ste 125
Boise, ID 83706-3941

Phone

(208) 336-8700

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Steven J Berg, CRNANPI 1386662633

Title

Owner

Phone

(208) 458-2409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

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

• Steven Berg, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
  • NPI 1386662633

  ID, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Allison A. Martinez, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1922650613

  ID, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1134764293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3611",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033611",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E MALLARD DR STE 125",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063941",
            "telephone_number": "208-336-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J BERG ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-458-2409",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Provider Group
• Darrell D. Sterling, RPH
• Hugh G Sterling, M.D.
• Alice Sternke, RPT
• Shannon Michelle Stetz, RDH
• Shannon Stevens-Commers
• Barbara Ann Stevens, LCPC
• Dennis Leroy Stevens, M.D.
• Kacie Michelle Stevens
• Katherine S Stevens, MD

• All providers in Boise, ID
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.