Rebecca Jo Santek, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ogden, UT
NPI 1245396167 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1245396167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 354443-4406 (UT)
- Practice address
- 4401 Harrison Blvd
Ogden, UT 84403-3195 - Phone
- (801) 727-2056
- Fax
- (770) 701-6675
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NPH Anesthesia of Utah LLC
Ogden Clinic Specialty Services LLC
Tanner Memorial Clinic
Practice addresses (Care Compare)
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
5740 Crestwood Dr
Ogden, UT 84405-4869
Phone (801) 479-7771
6028 S Ridgeline Dr
Suite 201
Ogden, UT 84405-6908
Phone (801) 773-4840
Hospital & facility affiliations
- Ogden Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000942 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911909809 | Reassigns benefits to 4 organizations |
| I20130208000288 | AK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911909809 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001139 | CA | MD | Gerontology Nurse Practitioner |
| NA95001139 | CA | MD | Certified Registered Nurse Anesthetist |
| 354443-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current |
Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Chugach Anesthesia, LLC | Current |
Accepting new patients | |
| Tanner Memorial Clinic | Current |
Accepting new patients | |
| Tanner Memorial Clinic | Current |
Accepting new patients | |
| Ogden Clinic PC | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Columbia Ogden Medical Center, Inc. | Past | Accepting new patients | |
| Alaska Surgery Center, Limited Partnership | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Alaska Spine Center, LLC | Past |
Accepting new patients |
Locations
4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100
4100 Lake Otis Pkwy
Ste 102
Anchorage, AK 99508
Phone (907) 382-0660
4100 Lake Otis Pkwy
Ste 104
Anchorage, AK 99508
Phone (907) 550-6100
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
6028 S Ridgeline Dr
Ste 201
South Ogden, UT 84405
Phone (801) 475-5400
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
5740 Crestwood Dr
South Ogden, UT 84405
Phone (801) 479-7771
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA95001139 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 354443-4406 | UT | Yes |
Addresses
Primary practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Mailing address
PO Box 3570
Salt Lake City, UT 84110-3570
Phone (801) 727-2056
Other providers in Ogden, UT
- Bart Steven Sanders
- Lanny W Sanders
- Maria Elena Sandoval
- Ruth Sandoval
- Sandra Whitfield M.D.
- Santos Garcia
- Sarah Kiel Nutrition
- Staci Sargent
- Jack Francis Sarro
- Suzanne Marie Sarro
All providers in Ogden, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.