Steven L Park, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

069511 Issued in IA

Practice address

407 S White St
N/a
Mount Pleasant, IA 52641-2262

Phone

(319) 385-3141

Fax

(319) 385-6571

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720049927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST",
            "address_2": "N/A",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412262",
            "telephone_number": "319-385-3141",
            "fax_number": "319-385-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST",
            "address_2": "N/A",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412262",
            "telephone_number": "319-385-3141",
            "fax_number": "319-385-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "069511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell J. Nichols II, DDS
• Christopher P Olson, O.D.
• Katherine Irene Olson, PHARMD
• Ryan Origer
• John Paiva, M.D.
• Kari Payne, ARNP, CNM
• Denice Kay Pearson-Libby
• Jasmine Perrott, FNP-C
• Planned Parenthood of the Heartland
• Pleasant Manor Care Center

• Certified Registered Nurse Anesthetist in Mount Pleasant, IA
• Providers in Mount Pleasant, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.