Suderman Anesthesia Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SUDERMAN ANESTHESIA INC

Practice address

4026 Jerry Murphy Rd
Pueblo, CO 81001-1045

Phone

(719) 630-3937

Fax

(719) 635-3578

NPI assigned

Jan 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Craig K Suderman, CRNANPI 1730157595

Title

President

Phone

(800) 880-3566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Craig K Suderman, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1730157595

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1295073252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3750",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103750",
            "telephone_number": "800-880-3566",
            "fax_number": "770-701-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 JERRY MURPHY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011045",
            "telephone_number": "719-630-3937",
            "fax_number": "719-635-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Chapel Hills Dr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201022",
            "country_code": "US",
            "telephone_number": "719-955-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10520 El Diente Ct",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "720-524-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUDERMAN ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "SUDERMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-880-3566",
        "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": []
}

• Howard Graham Stringert, DDS
• Daniel L Strome, LAC, SWC, MSW
• Adam Strunk, MD
• Alysha Stucker
• Elizabeth Louise Stuyt, M.D.
• Craig K Suderman, CRNA
• Ronnie Sue
• Stephanie Sufian
• Desiree Sumida, APN/FNP
• Lacey Summers

• Certified Registered Nurse Anesthetist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.