Active NPI
Ron W Pulver, CRNA
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2128894406
- Practice address
- 6360 S 3000 E Ste 310
Salt Lake City, UT 84121 - Phone
- (801) 944-3144
- Fax
- (801) 944-3186
- NPI assigned
- Aug 10, 2006
- 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 | 2128894406 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 310
Salt Lake City, UT 84121
Mailing address
1000 Cobblestone Dr
Heber City, UT 84032-3959
Phone (435) 671-1261
Other practice location 1
1485 S Highway 40
Heber City, UT 84032-3522
Phone (435) 654-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128894406 | Other | UT | UTAH STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2128894406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Riverwoods Anesthesia PLLC | Current | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
320 River Park Dr
Ste 195
Provo, UT 84604
Phone (801) 375-8064
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
368 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 674-3109
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Provo, UT
- NPI 1821290883
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1124837646
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1972510717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1487665394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 COBBLESTONE DR",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323959",
"telephone_number": "435-671-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 310",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-944-3144",
"fax_number": "801-944-3186"
}
],
"practiceLocations": [
{
"address_1": "1485 S Highway 40",
"address_purpose": "LOCATION",
"city": "Heber City",
"state": "UT",
"postal_code": "840323522",
"country_code": "US",
"telephone_number": "435-654-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULVER",
"first_name": "RON",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "2128894406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH STATE LICENSE",
"identifier": "2128894406",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.