Summit Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

604089025 Issued in WA

Legal business name

SUMMIT ANESTHESIA PLLC

Practice address

6703 W Rio Grande Ave BLDG a
Kennewick, WA 99336-2623

Phone

(509) 946-9375

NPI assigned

Sep 22, 2017

Organization subpart

No

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

Authorized official

Name

Tyler Rex Thornock, CRNANPI 1881999639

Title

Manager

Phone

(435) 668-4334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Rex Thornock, CRNA

  • Certified Registered Nurse Anesthetist
  • Kennewick, WA
  • NPI 1881999639

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1609385509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15205 S MOUNTAIN RIDGE CT",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993388325",
            "telephone_number": "14356684334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 W RIO GRANDE AVE BLDG A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362623",
            "telephone_number": "509-946-9375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 N Young St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367806",
            "country_code": "US",
            "telephone_number": "509-736-2770",
            "fax_number": "509-736-2771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-668-4334",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "604089025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer A Sturges, M.A., CCC-SLP
• Zoe Kate Suarez
• Kayla Ann Sullins, MSAT, LAT, ATC
• Kyle Robert Sullivan
• Renee Michelle Sullivan, RNFA
• Summit Physical Therapy, Inc.
• Joelle Sumner
• Sophia Keely Sumner
• Sunday Investments, LLC
• Sunderland Family Treatment Services

• Certified Registered Nurse Anesthetist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.