Chukar Haven Anesthesia PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

22560.0355 Issued in WY

Legal business name

CHUKAR HAVEN ANESTHESIA PC

Practice address

2100 W Sunset Dr
Anesthesia - Mullinix
Riverton, WY 82501-2274

Phone

(307) 856-4161

NPI assigned

Feb 15, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Allford Mullinix, CRNANPI 1063457893

Title

President

Phone

(307) 856-4161

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Mullinix, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverton, WY
  • NPI 1063457893

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Lynn Michelle Mullinix, LMHCA

  • Counselor
  • Vancouver, WA
  • NPI 1881470482
  NPD

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1619274347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W SUNSET DR",
            "address_2": "ANESTHESIA - MULLINIX",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012274",
            "telephone_number": "307-856-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W SUNSET DR",
            "address_2": "ANESTHESIA - MULLINIX",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012274",
            "telephone_number": "307-856-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKAR HAVEN ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MULLINIX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALLFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-856-4161",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "22560.0355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Shi Cheng, D.O.
• Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Riverton - LMC)
• Chiropractic Works Inc
• Diana Lynne Christensen
• Brittany Lynne Christoffersen, PA-C
• Cielette M Karn, MD
• Chad Michael Clark, DDS, MS, BS
• Karyn Kelly Clark, BS, BA
• Clinical Colleagues LLC (Clinical Colleagues Inc)
• Codi S Thompson

• Certified Registered Nurse Anesthetist in Riverton, WY
• Providers in Riverton, WY by specialty
• Certified Registered Nurse Anesthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.