Shad B Westover, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA714 Issued in ID

Practice address

1717 Arlington Ave
Caldwell, ID 83605-4802

Phone

(208) 455-4009

NPI assigned

Dec 31, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in ID, OR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

West Idaho Anesthesia, LLPGroup PAC ID 9133343031, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

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 and National Provider Directory roles.

• West Idaho Anesthesia, LLP

  • Certified Registered Nurse Anesthetist
  • Caldwell, ID
  • NPI 1871918318

  Nurse Anesthetist, Certified Registered, OR

  Medicare reassignment Care Compare group NPD Authorized official
• Cardiac and Arrhythmia Center of Idaho PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Meridian, ID
  • NPI 1629707740
  NPD
• Everest ASC

  • Ambulatory Surgical Clinic/Center
  • Meridian, ID
  • NPI 1689349219
  NPD (past)

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

• West Valley Medical Center Inc

  • General Acute Care Hospital
  • Middleton, ID
  • NPI 1609818483
  Care Compare affiliation
• West Valley Medical Center, Inc.

  • General Acute Care Hospital
  • Caldwell, ID
  • NPI 1891732905
  Care Compare affiliation

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1407031180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3816",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033816",
            "telephone_number": "208-552-8572",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802",
            "telephone_number": "208-455-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTOVER",
        "first_name": "SHAD",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA714",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8079285",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Lee West, LMFT
• Josh Robert Westerberg, DENTURIST/DENTURITRY
• Rebecca Lynn Westerberg, LD
• Western Idaho Pathology PA
• Wendy M Weston, LPC
• Gillian Wheadon
• White Willow Massage
• Ashley Fae White, NP
• Kayla White, LPC
• Savannah M Whiting, DO

• Certified Registered Nurse Anesthetist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.