Sierra Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SIERRA ANESTHESIA

Practice address

834 Sheridan St
PT Townsend, WA 98368-2443

Phone

(877) 261-6262

Fax

(360) 733-9553

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Marc C Johnson, CRNA

Title

Crna

Phone

(877) 261-6262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639128564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 HUMBOLDT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254931",
            "telephone_number": "877-261-6262",
            "fax_number": "360-733-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "877-261-6262",
            "fax_number": "360-733-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "877-261-6262",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9634213",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stig K a Osterberg, DDS MSD
• Pacific Eyecare of Poulsbo PS

• Certified Registered Nurse Anesthetist in PT Townsend, WA
• Providers in PT Townsend, 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 Aug 22, 2020; 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.