Active NPI
Paul B Reichert, CRNA
- Certified Registered Nurse Anesthetist
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 198716-4406
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (800) 748-4868
- Fax
- (801) 733-5618
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 198716-4406 | UT | Primary |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
1191 W 1670 N
Pleasant Grove, UT 84062-9228
Phone (801) 796-5977
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7771 | Other | UT | HEALTHY U |
| TPRA07641 | Other | UT | MOLINA |
| 47396 | Other | UT | PEHP |
| 870525882RE1 | Other | UT | EDUCATORS MUTUAL |
| 107008060102 | Other | UT | IHC |
| 343291 | Other | UT | DESERET MUTUAL |
| QM0000076595 | Other | UT | ALTIUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1954 E Ft Union Blvd
Suite 105
Salt Lake City, UT 84121-6891
Phone (801) 993-9524
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Anesthesia LC | Current | Accepting new patients | |
| South Towne Anesthesia LLC | Current | Accepting new patients |
Locations
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
96 E Kimballs Ln
Draper, UT 84020
Phone (801) 233-9300
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Anesthesiology Physician
- Draper, UT
- NPI 1457061533
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Timpanogos Regional Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316042732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 W 1670 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840629228",
"telephone_number": "801-796-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "800-748-4868",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHERT",
"first_name": "PAUL",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "198716-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "7771",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "TPRA07641",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "47396",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870525882RE1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107008060102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "343291",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076595",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.