Active NPI
Post Falls Anesthesia Group PLLC
- Certified Registered Nurse Anesthetist
- Post Falls, ID
National Provider Identifier
1871195131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- POST FALLS ANESTHESIA GROUP PLLC
- Practice address
- 602 N Calgary CT Ste 203
Post Falls, ID 83854-4000 - Phone
- (208) 660-8814
- Fax
- (208) 550-3468
- NPI assigned
- Nov 12, 2020
- Last updated
- Nov 12, 2020
- 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
- Bradley S Barlow, DDS
- Title
- Owner
- Phone
- (208) 660-8814
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | |||
| Anesthesiology Physician | 207L00000X | |||
| Pediatric Anesthesiology Physician | 207LP3000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
602 N Calgary CT Ste 203
Post Falls, ID 83854-4000
Mailing address
602 N Calgary CT Ste 203
Post Falls, ID 83854-4000
Phone (208) 660-8814
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1871195131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N CALGARY CT STE 203",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544000",
"telephone_number": "208-660-8814",
"fax_number": "208-550-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N CALGARY CT STE 203",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544000",
"telephone_number": "208-660-8814",
"fax_number": "208-550-3468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POST FALLS ANESTHESIA GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-660-8814",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.