Shadow Anesthesia Services, LLC

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

CR000953 Issued in SD

Legal business name

SHADOW ANESTHESIA SERVICES, LLC

Practice address

1401 10TH Ave W
Mobridge, SD 57601

Phone

(605) 845-8271

Fax

(605) 845-3502

NPI assigned

Jul 27, 2010

Last updated

Jul 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Holly Victoria Lashmet, CRNANPI 1609839463

Title

Chief

Phone

(605) 845-3502

Specialties & licenses 5

Addresses

Other identifiers 3

Practitioners 1

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.

• Holly V Lashmet, CRNA

  • Certified Registered Nurse Anesthetist
  • Mobridge, SD
  • NPI 1609839463
  Authorized official Same address or phone

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1871807206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 10TH ST E",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011813",
            "telephone_number": "402-802-0246",
            "fax_number": "605-845-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "57601",
            "telephone_number": "605-845-8271",
            "fax_number": "605-845-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23030 N Rd",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "664368600",
            "country_code": "US",
            "telephone_number": "970-580-5191",
            "fax_number": "785-364-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHADOW ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "LASHMET",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "605-845-3502",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "100997",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "100997",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "55417",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "100997",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SD",
            "license": "CR000953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304330",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11654543",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145111",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Olson, O.D.
• Jennifer Ashley-Marie Pepin, RD, LDN
• Drew D Petersen, PT,DPT
• Todd Salfrank, CNP
• Matthew Jacob Schaffer, D.O.
• Alfred T Smith, MSW, CSAC-II
• Support Circle Inc (The Support Circle, INC)
• Thomas George Swanson, D.D.S.
• Dorinda Vojta, CNM
• Wolff Chiropractic Clinic PC

• Rural Acute Care Hospital in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Rural Acute Care Hospital in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.