RIM COUNTRY ANESTHESIA SERVICES PC (NPI# 1114110236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114110236 |
| Entity Type | Organization |
| Organization Name | RIM COUNTRY ANESTHESIA SERVICES PC |
| Practice Address |
807 S Ponderosa St Payson AZ 85541-5542 |
| Mailing Address |
Po Box 29211 Phoenix AZ 85038-9211 |
| Practice Telephone | 6022736770 |
| Practice Fax Number | 6028890489 |
| Mailing Telephone | 6022736770 |
| Mailing Fax Number | 6028890489 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-01-25 |
| Authorized Official Name | KIRT M ROSENLOF (OWNER) |
| Authorized Official Telephone | 6022736700 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA0525 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
807 S PONDEROSA ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1205320777 | Jessica L Balcom | Nurse Practitioner | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2018-06-19 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1568995470 | Andrew Clark | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-04-07 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1831503697 | Alex Vlahopoulos | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541 | 2014-06-19 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| 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 |
|---|---|---|---|---|
| 1679916670 | Todd James Hartley | Nurse Anesthetist, Certified Registered | 1638 S 500 W, Payson, UT 84651-8600 | 2013-04-10 |
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1033536388 | Cherie Carpenter Bate | Nurse Anesthetist, Certified Registered | 1000 E 100 N, Payson, UT 84651-1600 | 2014-03-25 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1538300215 | Green Leaf Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2009-03-10 |
| 1255504791 | Loran C Jacobs Jr Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2008-04-04 |
| 1972792588 | Payson Hospital Corporation | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2007-10-19 |
| 1982891479 | Cadence Anesthesia PC | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2007-09-27 |
| 1588740971 | Certified Anesthesia Services, Ltd. | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2006-10-27 |
| Find all providers in PAYSON | ||||
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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.