Organization Active NPI

Peak to Peak Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Westminster, CO
National Provider Identifier
1720178270
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
109150 Issued in CO
Legal business name
PEAK TO PEAK ANESTHESIA SERVICES INC
Practice address
8403 Bryant St
Westminster, CO 80031
Phone
(888) 209-0305
Fax
(952) 442-3620
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Authorized official

Name
Marcia Kay Maronn Johnson, CRNA
Title
President
Phone
(970) 389-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 109150 CO Primary

Addresses

Primary practice location

8403 Bryant St
Westminster, CO 80031

Mailing address

400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305

Other practice location 1

7690 W Massey Dr
Littleton, CO 80128-6288
Phone (970) 389-2555

Other identifiers 1

IdentifierTypeStateIssuer
15720535MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1720178270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7690 W Massey Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801286288",
            "country_code": "US",
            "telephone_number": "970-389-2555",
            "fax_number": "855-452-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK TO PEAK ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "MARONN JOHNSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-389-2555",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "109150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15720535",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.