Martini Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MARTINI ANESTHESIA SERVICES LLC

Practice address

1524 W 5TH St
Sheridan, WY 82801-2707

Phone

(307) 672-7874

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Cody K Martini, CRNANPI 1659818706

Title

Owner

Phone

(208) 525-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 1

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

• Cody K Martini, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1659818706

  Nurse Anesthetist, Certified Registered, WY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1689395774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3636",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033636",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012707",
            "telephone_number": "307-672-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINI ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marshall
• Brianne Alysse Martin, OT
• Jarod Raymond Martin
• Lindsay Ann Martin
• Kelsi Marie Martinez, MS, CCC-SLP
• Elizabeth M Martini, MA, CRC, LPC
• Kassahn Mathson, LCSW
• Christina Maria Mathyssek
• Mikklena M Matthews, FNP
• Matthew Matzen

• Certified Registered Nurse Anesthetist in Sheridan, WY
• Providers in Sheridan, 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 Sep 7, 2022; 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.