Mauna Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MAUNA ANESTHESIA LLC

Practice address

520 N Third Ave
Sandpoint, ID 83864-1507

Phone

(208) 263-1411

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Ian Lynch, CRNA

Title

Owner

Phone

(509) 434-9055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1447711387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E BLACKWOOD LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N THIRD AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641507",
            "telephone_number": "208-263-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUNA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-434-9055",
        "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": []
}

• Manninen PLLC
• Bethany Mason
• Janean Marie Mason, RPT
• Pennie Mathias, MS, OTR/L
• Stephen M Mathis, PSY.D., A.A.P.T.A.
• MBD PLLC
• Sharon J McCahon, LCSW
• Erika McCall
• Lynette N McCanna, NP-C
• Erin E. McClure, P.T.

• Certified Registered Nurse Anesthetist in Sandpoint, ID
• Providers in Sandpoint, 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 Mar 25, 2019; 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.