Individual provider Active NPI

Zachary D Morrow

  • Certified Registered Nurse Anesthetist
  • Blackfoot, ID
National Provider Identifier
1699268276
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
61161 Issued in ID
Practice address
98 Poplar St
Blackfoot, ID 83221-1758
Phone
(208) 785-4100
NPI assigned
Jun 8, 2018
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 8498-33 WI
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 61161 ID Primary

Addresses

Primary practice location

98 Poplar St
Blackfoot, ID 83221-1758

Mailing address

PO Box 1627
Idaho Falls, ID 83403-1627
Phone (208) 552-8778

Other identifiers 1

IdentifierTypeStateIssuer
1699268276MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ID, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180809000871 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921356817 Reassigns benefits to 4 organizations
I20190709002806 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921356817 Reassigns benefits to 5 organizations
I20240724002086 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921356817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
8498-33WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Bay Anesthesia Assoc. SC CurrentSince Jun 9, 2018 Accepting new patients
Valley View Anesthesia PA CurrentSince Mar 1, 2022 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Bellin Anesthesia Associates, S.C. CurrentSince Apr 15, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2024 Accepting new patients
Mountain View Hospital LLC CurrentSince Sep 1, 2021 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Oct 1, 2021 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Jun 25, 2024 Accepting new patients
East Idaho Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Northstar Anesthesia of Idaho PLLC CurrentSince Nov 28, 2023 Accepting new patients

Locations

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344

333 N 18th Ave
Ste C
Pocatello, ID 83201
Phone (208) 234-7800

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

Bin 88263
Milwaukee, WI 53288

Bin 88848
Milwaukee, WI 53288

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1699268276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031627",
            "telephone_number": "208-552-8778",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-785-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "8498-33",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "61161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699268276",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.

Verify at the official NPI Registry.