Grove City Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

GROVE CITY ANESTHESIA LLC

Practice address

1485 Parkway Dr
Blackfoot, ID 83221-1667

Phone

(208) 785-5100

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Blake G Purcell, CRNA

Title

Pres

Phone

(208) 313-0175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1144511452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2193",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032193",
            "telephone_number": "208-552-8777",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "208-313-0175",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Rhonda Grandee, PA
• Spencer Griffin, LMSW
• Guss Grimmett, NP
• Heather Faye Grimmett, PA
• Robert Jeff Grondel, M.D.
• Stanley Brandon Grover, D.O.
• Grant Gundersen, CNRA
• Robert Jackson Hague, BI-RBT
• George G Hales, MD
• Kaelyn Hales, M.A., CCC-SLP

• Certified Registered Nurse Anesthetist in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.