Aspen Anesthesia, Inc
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Aspen, CO
NPI 1811042898 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1811042898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 29434C (CO)
- Legal business name
- ASPEN ANESTHESIA, INC
- Practice address
- 401 Castle Creek Rd
Aspen, CO 81611-1159 - Phone
- (844) 246-1591
- Fax
- (970) 544-1587
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Eric Willsky, MD
- Title
- Owner
- Phone
- (844) 246-1591
Practitioners 27
-
Adriana Maria Divo, CRNA
-
Trygve Hutto, DO
-
Kathleen Mitchell, CRNA
-
Vincent Paul Franze, D.O.
-
Ryan C. Nau, CRNA
-
Jennifer V. Potter, M.D.
-
Nicholas Mark Rodgers, CRNA
-
Amy Lynne Engelmann, CRNA
-
Cameron Meyer, CRNA
-
Christopher L Poland, CRNA
-
Tamara Jo Stoner, MD
-
Anastasia Rose Talarico, CRNA
-
Yuri Aronov, MD
-
Matthew J Fiegel, MD
-
Margaret Handlan, CRNA
-
Melissa L Kepler, CRNA
-
Kathleen Monahan, CRNA
-
Noemi Toth, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000271 | CO | Part B Supplier - Clinic/Group Practice | 7113065970 |
Receives reassigned benefits from 26 practitioners Practice locations: Basalt, CO; Rifle, CO; Glenwood Springs, CO; Aspen, CO |
National Provider Directory
Locations
501 Airport Rd
#912
Rifle, CO 81650
Phone (970) 250-4609
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 29434C | CO | Yes |
Addresses
Primary practice location
401 Castle Creek Rd
Aspen, CO 81611-1159
Mailing address
PO Box 3930
Salt Lake City, UT 84110-3930
Phone (800) 880-3566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04020079 | Medicaid | CO |
Other providers in Aspen, CO
- Luciana T Alves
- Ann M. Mass, M.D., P.C.
- Julie Anthony
- Antos Physical Therapy, Inc.
- Tiffany Elizabeth Antos
- Aspen Center for Cosmetic Medicine PC
- Aspen Center for Womens Health
- Aspen Center4Counseling, LLC
- Aspen Centers for Advanced Treatment
- Aspen Chiropractic & Holistic Health
All providers in Aspen, CO · Pain Medicine (Anesthesiology) Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.