ANESTHESIA PUGET SOUND PLLC (NPI# 1053523886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053523886 |
| Entity Type | Organization |
| Organization Name | ANESTHESIA PUGET SOUND PLLC |
| Practice Address |
1418 E Lakeshore Drive Lake Stevens WA 98258 |
| Mailing Address |
Pmb 954 Lake Stevens WA 98258 |
| Practice Telephone | 4253451947 |
| Mailing Telephone | 4253451947 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | THOMAS STILLMAN ELSEMORE (PRESIDENT) |
| Authorized Official Telephone | 4253451947 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30000995 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9606195 | 05 | |
| WA | REGENCE BLUE SHIELD | EL3744 | 01 |
| WA | MEDICARE RAILROAD | 430043140 | 01 |
| Street Address |
1418 E LAKESHORE DRIVE |
| City | LAKE STEVENS |
| State | WA |
| Zip Code | 98258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1811490550 | Washington Dental Corporation PC | Dentist | 907 Frontier Circle E, Suite 110, Lake Stevens, WA 98258 | 2018-03-08 |
| 1881140499 | Tracy L. Delorm, D.d.s. Pllc | Dentist | 9514 4th St. Ne Unit 102, Lake Stevens, WA 98258 | 2016-09-01 |
| 1932587870 | Nathan Cory | Contractor | 25 95th Dr Ne #105, Lake Stevens, WA 98258 | 2015-05-12 |
| 1902249063 | Troy Slover | Family Medicine | 31 Ne Route 300 Suite 200, Belfair, WA 98258 | 2013-04-09 |
| 1154675064 | Pspd - Lake Stevens Pllc | Dentist | 9421 N. Davies Road #a, Lake Stevens, WA 98258 | 2012-10-30 |
| 1053670364 | Ashley Nicole Sherman | Massage Therapist | 9623 32nd St Se Bldg D Ste 115, Lake Stevens, WA 98258 | 2012-05-07 |
| 1326344391 | Lyman Charles Drown | Specialist/Technologist | 9514 4th Street Ne, Suite 101, Lake Stevens, WA 98258 | 2011-02-08 |
| 1942504071 | Rebekah Erin Callahan | Marriage & Family Therapist | 7304 10th St. Se #b201, Lake Stevens, WA 98258 | 2011-01-04 |
| 1376857235 | Ronald L Rhea | Massage Therapist | 7812 12th St Se, Lake Stevens, WA 98258 | 2010-08-03 |
| Find all providers in zip 98258 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750844312 | Amanda Marie Barrett | Nurse Anesthetist, Certified Registered | 11632 3rd St Ne, Lake Stevens, WA 98258-9716 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109835 | Mandy Lynn Engel | Nurse Anesthetist, Certified Registered | 5366 93rd Pl Sw, Mukilteo, WA 98275-3610 | 2020-09-16 |
| 1447872148 | Hs Orion Enterprises, LLC | Nurse Anesthetist, Certified Registered | 1120 N Pines Rd Ste 102, Spokane Valley, WA 99206-4942 | 2020-05-15 |
| 1457982308 | Salish Sedation Services, Pllc | Nurse Anesthetist, Certified Registered | 2930 Squalicum Pkwy Ste 202, Bellingham, WA 98225-1854 | 2020-01-30 |
| 1063043982 | Jose Daniel Olivera | Nurse Anesthetist, Certified Registered | 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 | 2020-01-29 |
| 1154883320 | Zen Anesthesia LLC | Nurse Anesthetist, Certified Registered | 417 145th Ave Ne, Bellevue, WA 98007-4927 | 2019-04-04 |
| 1831651009 | Pacific Rim Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 1427 Jefferson Ave Ste 101, Enumclaw, WA 98022-3649 | 2019-04-04 |
| 1386105633 | Frische Inc | Nurse Anesthetist, Certified Registered | 3100 Carillon Pt Ste 3100, Kirkland, WA 98033-7306 | 2019-03-28 |
| 1942765359 | Ethereal Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 | 2019-02-11 |
| 1548758733 | Empire of Daft Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 24622 214th Ave Se, Maple Valley, WA 98038-8507 | 2018-04-24 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE STEVENS |
| Zip Code | 98258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.