Monroe Anesthesia Services PC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N-31144 Issued in ID

Legal business name

MONROE ANESTHESIA SERVICES PC

Practice address

1501 Hiland Ave
Burley, ID 83318-2688

Phone

(208) 525-2090

Fax

(208) 523-8978

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Matthew L Monroe, CRNANPI 1891877858

Title

Owner

Phone

(208) 312-7321

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Matthew L Monroe, CRNA

  • Certified Registered Nurse Anesthetist
  • Burley, ID
  • NPI 1891877858
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1184055097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833180724",
            "telephone_number": "208-312-7321",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182688",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-312-7321",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-31144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891877858",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew L Monroe, CRNA
• Rebecca Rae Morris, CNM WHNP
• Risa G. Mortensen, LPC
• Mountain Medical Physician Specialists of Idaho PC
• Joshua Paul Munns, DPT

• Registered Nurse in Burley, ID
• Providers in Burley, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.