Eileen Sherry Boge, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN12311 Issued in ID

Practice address

670 E Countryside LN
Idaho Falls, ID 83404-7600

Phone

(208) 524-3417

NPI assigned

Jun 8, 2006

Last updated

Sep 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Eileen Sherry Baer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Anesthesia Specialists LLC

  • Certified Registered Nurse Anesthetist
  • Alamogordo, NM
  • NPI 1629390083

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Pine Ridge Indian Health Service Hospital

  dba Wanblee Health Center

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1851332449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 E COUNTRYSIDE LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047600",
            "telephone_number": "208-524-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 E COUNTRYSIDE LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047600",
            "telephone_number": "208-524-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGE",
        "first_name": "EILEEN",
        "middle_name": "SHERRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "APN88641",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "APN12311",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "APN28173153A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "BAER",
            "middle_name": "SHERRY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ben Bodily, PT
• Tanner Blaylock Bodily
• Body Positive Nutrition Counseling LLC (Body Positive Nutrition Counseling)
• Bethena (Beth) Loree Boettcher, L.C.P.C.
• Charles R Boge, MD
• Brion L Boldt, BA
• Kara Dee Boll
• Nikie Greene Bone, LPC
• Bonneville County
• Bonneville School Dist #93

• Certified Registered Nurse Anesthetist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.