Active NPI
Ian David Stoddard, CRNA
- Certified Registered Nurse Anesthetist
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60781545
- Practice address
- 110 S 9TH Ave
Yakima, WA 98902-3315 - Phone
- (509) 575-5000
- NPI assigned
- Jul 23, 2017
- Last updated
- Aug 16, 2017
- 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 | AP60781545 | WA | Primary |
Addresses
Primary practice location
110 S 9TH Ave
Yakima, WA 98902-3315
Mailing address
110 S 9TH Ave
Yakima, WA 98902-3315
Phone (509) 574-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 S Meridian
Suite 305
Puyallup, WA 98371-7590
Phone (253) 841-3933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60781545 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Hernia and Surgical Solutions PS | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Cascade Hernia and Surgical Solutions PS | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Assocation | Current | Accepting new patients |
Locations
34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839
2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
11216 Sunrise Blvd E
Ste 3-201
Puyallup, WA 98374
Phone (253) 770-3700
11216 Sunrise Blvd E
Ste 3207
Puyallup, WA 98374
Phone (253) 272-8148
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
208 17th Ave SE
#201
Puyallup, WA 98372
Phone (253) 840-1999
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880
110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000
Organizations & group practices 10
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Puyallup, WA
- NPI 1174725402
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
dba Meridian Surgical Services
- Surgery Physician
- Puyallup, WA
- NPI 1477616936
-
dba Astria Health Center
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1871002527
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
dba Astria Health Center
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1245265826
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1417470311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 9TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023315",
"telephone_number": "509-574-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 9TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023315",
"telephone_number": "509-575-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "IAN",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60781545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.