Active NPI
Connor Anderl, CRNA
- Certified Registered Nurse Anesthetist
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 317095-4406
- Practice address
- 5475 S 500 E
Ogden, UT 84405-6905 - Phone
- (800) 880-3566
- Fax
- (801) 733-5872
- NPI assigned
- Aug 11, 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 | 317095-4406 | UT | Primary |
Addresses
Primary practice location
5475 S 500 E
Ogden, UT 84405-6905
Mailing address
246 E 1050 N
Kaysville, UT 84037-1249
Phone (801) 476-7168
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPRA07565 | Other | UT | MOLINA |
| 219506 | Other | UT | ALTIUS |
| 59968 | Other | UT | HEALTHY U |
| 68295 | Other | UT | PEHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317095-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Anesthesia LC | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| South Towne Anesthesia LLC | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients |
Locations
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
96 E Kimballs Ln
Draper, UT 84020
Phone (801) 233-9300
96 E Kimballs Ln
Ste 100
Draper, UT 84020
Phone (801) 233-9300
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 4
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
- Ogden, UT
- NPI 1366077273
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Anesthesiology Physician
- Draper, UT
- NPI 1457061533
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ogden Regional Medical Center
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437160645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 E 1050 N",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371249",
"telephone_number": "801-476-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 S 500 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844056905",
"telephone_number": "800-880-3566",
"fax_number": "801-733-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERL",
"first_name": "CONNOR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "317095-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "TPRA07565",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "219506",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "59968",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "68295",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, 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.