NPIMap

Organization Active NPI

Marquart Anesthesia Services PA Inc

  • Certified Registered Nurse Anesthetist
  • Medford, OR
National Provider Identifier
1871743765
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MARQUART ANESTHESIA SERVICES PA INC
Practice address
2727 E Barnett Rd
Medford, OR 97504-8331
Phone
(541) 858-4000
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Cheryl Marquart, CRNANPI 1710958491
Title
Owner
Phone
(503) 871-0412

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X OR Primary

Addresses

Primary practice location

2727 E Barnett Rd
Medford, OR 97504-8331

Mailing address

400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000880 OR Part B Supplier - Clinic/Group Practice 5193614220 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, OR; Grants Pass, OR; Klamath Falls, OR; Medford, OR

National Provider Directory

National Provider Directory

Locations

1170 Royal Ave
Medford, OR 97504
Phone (541) 512-4771

1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464

2727 E Barnett Rd
Medford, OR 97504
Phone (503) 779-4711

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1871743765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048331",
            "telephone_number": "541-858-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUART ANESTHESIA SERVICES PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "MARQUART",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-871-0412",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.