Pullman Anesthesia Associates PS

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PULLMAN ANESTHESIA ASSOCIATES PS

Practice address

835 SE Bishop Blvd
Pullman, WA 99163-5512

Phone

(509) 413-3147

NPI assigned

Aug 30, 2006

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey D Johnson, CRNANPI 1447235353

Title

President

Phone

(509) 413-3147

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Dean Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Pullman, WA
  • NPI 1447235353
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1790895068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "address_2": "DEPT # 880129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "509-413-3147",
            "fax_number": "509-336-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635512",
            "telephone_number": "509-413-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLMAN ANESTHESIA ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-413-3147",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9609173",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Public Hospital District #1-a of Whitman County (Palouse Pediatrics)
• Public Hospital District #1-a of Whitman County (Pullman Regional Hospital)
• Public Hospital District #1-a of Whitman County (Pullman Regional Hospital)
• Public Hospital District #1-a of Whitman County (Pullman Regional Hospital)
• Public Hospital District 1a of Whitman County (Pullman Regional Hospital)
• Pullman Anesthesia PLLC
• Pullman Behavioral Health PLLC
• Pullman Chiropractic Clinic, PLLC (Pullman Chiropractic Clinic)
• Pullman Family Dentistry PLLC
• Pullman Family Medicine

• Certified Registered Nurse Anesthetist in Pullman, WA
• Providers in Pullman, 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 May 16, 2016; 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.