Max H Shurtliff, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

212191-4406 Issued in UT

Practice address

3580 W 9000 S
West Jordan, UT 84070

Phone

(801) 993-9527

Fax

(801) 733-5872

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Amsurg St George Anesthesia, LLC

  • Anesthesiology Physician
  • St George, UT
  • NPI 1730452814
  NPD (past)
• Merwin D. Rasmussen, PC

  • Certified Registered Nurse Anesthetist
  • West Valley City, UT
  • NPI 1861413866

  Nurse Anesthetist, Certified Registered

  NPD (past)
• St George Endoscopy Center LLC

  dba St. George Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • St George, UT
  • NPI 1457325573
  NPD (past)
• Utah Pain Management PC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1598778581
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851484489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 W 6000 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "801-993-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-993-9527",
            "fax_number": "801-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURTLIFF",
        "first_name": "MAX",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "212191-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co. LLC (ShopKo Optical 084)
• Shoptikal LLC (Shopko Optical 4084)
• Debbie Shorten
• Carlee Showers
• Lindsey Shumway, MS SLP CCC
• Ala Shwani
• Richard Burton Sickelsmith, D.V.M.
• Walker Sickler
• Gabriel Silva Cubas
• Wendy Silva, NBC-HWC

• Certified Registered Nurse Anesthetist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.