Organization Active NPI

Maxfield Anesthesia

  • Certified Registered Nurse Anesthetist
  • Idaho Falls, ID
National Provider Identifier
1336433689
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MAXFIELD ANESTHESIA
Practice address
3365 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone
(208) 542-1333
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Brett Maxfield, CRNA
Title
Pres
Phone
(208) 757-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3365 S Holmes Ave
Idaho Falls, ID 83404-7981

Mailing address

143 N 3762 E
Rigby, ID 83442-5308
Phone (208) 757-2754

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1336433689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N 3762 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425308",
            "telephone_number": "208-757-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-542-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXFIELD ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "MAXFIELD",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "208-757-2754",
        "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": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.