John Michael Unruh, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

200860002CRNA Issued in OR

Practice address

1253 NW Canal Blvd
Redmond, OR 97756-1334

Phone

(541) 548-8131

Fax

(541) 516-3877

NPI assigned

Jul 28, 2006

Last updated

Oct 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1144234816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6096",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086096",
            "telephone_number": "541-548-8131",
            "fax_number": "541-516-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-548-8131",
            "fax_number": "541-516-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN083995",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200860002CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185456",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500608091",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Tyler, MPT
• Amanda Underwood, RN
• Jade Underwood, CHW
• United Seating and Mobility LLC (Numotion)
• Anna Unruh
• Allison Rebecca Utterback
• Aubrey Valadez, BEHAVIOR TECHNICIAN
• Melissa Valadez, MSW
• Mark A Valenti, MD
• Lacee Shaee Valentine, LPN

• Certified Registered Nurse Anesthetist in Redmond, OR
• Providers in Redmond, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.