Active NPI
Rocky Mountain Anesthesia PLLC
- Certified Registered Nurse Anesthetist
- Rexburg, ID
National Provider Identifier
1811059876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- N-32894
- Legal business name
- ROCKY MOUNTAIN ANESTHESIA PLLC
- Practice address
- 36 Professional PLZ
Suite 100
Rexburg, ID 83440-2049 - Phone
- (208) 656-8442
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Harward, CRNA
- Title
- President
- Phone
- (208) 525-2090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | N-32894 | ID | Primary |
Addresses
Primary practice location
36 Professional PLZ
Suite 100
Rexburg, ID 83440-2049
Mailing address
1601 E 17TH St
Idaho Falls, ID 83404-6313
Phone (208) 525-2090
National Provider Directory
National Provider DirectoryLocations
36 Professional Plz
Ste 100
Rexburg, ID 83440
Phone (208) 356-0234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Provo, UT
- NPI 1598790966
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811059876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046313",
"telephone_number": "208-525-2090",
"fax_number": "208-525-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 PROFESSIONAL PLZ",
"address_2": "SUITE 100",
"city": "REXBURG",
"state": "ID",
"postal_code": "834402049",
"telephone_number": "208-656-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARWARD",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-525-2090",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "N-32894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.