PAUL M BOMMERSBACH (NPI# 1194710939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194710939 |
| Entity Type | Individual |
| Full Name | PAUL M BOMMERSBACH |
| Credential | CRNA |
| Practice Address |
800 E 21st St Sioux Falls SD 57105-1016 |
| Mailing Address |
800 E 21st St Pat Financial Serv. Sioux Falls SD 57105-1016 |
| Practice Telephone | 6053222754 |
| Practice Fax Number | 6053222727 |
| Mailing Telephone | 6053222754 |
| Mailing Fax Number | 6053222727 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R025403 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BLUE CROSS BS | 013K4BO | 01 |
| MN | 350443300 | 05 | |
| IA | 2538736 | 05 | |
| NE | 46022474348 | 05 | |
| SD | 5751464 | 05 | |
| IA | 1538736 | 05 | |
| SD | BLUE CROSS OF SD | 005230 | 01 |
| SD | 5751466 | 05 | |
| SD | WELLMARK | 4995505 | 01 |
| SD | DAKOTACARE | R025403 | 01 |
| Street Address |
800 E 21ST ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685688 | Rebecca Dykstra | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1016 | 2019-08-21 |
| 1750896551 | Sonja Marie Northrup-olson | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1016 | 2017-12-04 |
| 1528440914 | Taryn Peterson | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2015-06-23 |
| 1982004057 | Bethany Cramblit | Speech-Language Pathologist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2014-08-26 |
| 1548501612 | Charity Ahna Condon | Speech-Language Pathologist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2013-03-13 |
| 1871870691 | Cindy M. Schreter | Occupational Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2011-11-08 |
| 1114203460 | Ruth Elaine Fawcett | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2011-11-01 |
| 1326321530 | Michelle Webb | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2011-09-23 |
| 1841579505 | Sandra Kay Kreutner | Physical Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2011-08-12 |
| 1851670731 | Vicki Binstock | Occupational Therapist | 800 E 21st St, Sioux Falls, SD 57105-1003 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1346775657 | Anesthesia Providers, Prof. LLC | Nurse Anesthetist, Certified Registered | 7023 S High Cross Trl, Sioux Falls, SD 57108-3332 | 2017-04-24 |
| 1497174593 | Heidi Underwood | Nurse Anesthetist, Certified Registered | 1305 W. 18th Street, Sioux Falls, SD 57117-5074 | 2014-04-16 |
| 1154541589 | Alfred Erwin Lupien | Nurse Anesthetist, Certified Registered | 3932 S Western Ave, Sioux Falls, SD 57105-6513 | 2007-04-26 |
| 1316064835 | Mark Swenson | Nurse Anesthetist, Certified Registered | 5600 S Josh Wyatt Dr, Sioux Falls, SD 57108-5210 | 2007-03-22 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| 1184279507 | Rehfeldt Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 2101 W 69th St Ste 204, Sioux Falls, SD 57108-5621 | 2019-08-02 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.