Russell Jon Watson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA-912A Issued in ID

Practice address

351 SW 9TH St
Ontario, OR 97914-2639

Phone

(541) 881-7000

NPI assigned

Feb 22, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, ID2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Valley Anesthesia PCGroup PAC ID 2365414497, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Treasure Valley Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Ontario, OR
  • NPI 1215992003
  Medicare reassignment Care Compare group
• Anesthesia Consulting Partners Idaho, PC

  • Anesthesiology Physician
  • Caldwell, ID
  • NPI 1568241362
  Medicare reassignment NPD
• Weiser Valley Hospital District

  • Family Medicine Physician
  • Weiser, ID
  • NPI 1255364030
  Medicare reassignment NPD
• Weiser Valley Hospital District

  dba Weiser Memorial Hospital

  • Critical Access Hospital
  • Weiser, ID
  • NPI 1881641629
  Medicare reassignment
• Weiser Valley Hospital District

  • Critical Access Hospital
  • Boise, ID
  • NPI 1639373772
  NPD
• Weiser Valley Hospital District

  • Specialist
  • Weiser, ID
  • NPI 1932650561
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Alphonsus Medical Center- Ontario Inc

  dba Saint Alphonsus Medical Center Ontario

  • General Acute Care Hospital
  • Ontario, OR
  • NPI 1891891792
  Care Compare affiliation

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346562113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2936",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032936",
            "telephone_number": "208-552-8773",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142639",
            "telephone_number": "541-881-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 S Millenium Way",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425036",
            "country_code": "US",
            "telephone_number": "208-381-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RUSSELL",
        "middle_name": "JON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201160057CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-912A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346562113",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346562113",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyndi Waggoner, CADC II
• Wal-Mart Stores, Inc (Vision Center 30-1951)
• Walgreen Co (Walgreens #10054)
• Walgreens
• Walmart Inc. (Walmart Pharmacy 10-1951)
• Amy Colleen Weideman
• Kristina Jane Welborn, NP
• Candy Lynn Wells
• Chris Richard Welter, M.D.
• Monica Weston, AU.D., CCC-A/SLP

• Certified Registered Nurse Anesthetist in Ontario, OR
• Providers in Ontario, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.