KEZELE ANESTHETICS, P.C. (NPI# 1780062588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780062588 |
| Entity Type | Organization |
| Organization Name | KEZELE ANESTHETICS, P.C. |
| Practice Address |
285 Vista Dr Pocatello ID 83201-4987 |
| Mailing Address |
104 N Bear River Blfs Preston ID 83263-5184 |
| Practice Telephone | 2084781704 |
| Mailing Telephone | 2088522019 |
| Mailing Fax Number | 2088527173 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MR. JOHN THOMAS KEZELE III (PRESIDENT) |
| Authorized Official Telephone | 2088522019 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA-366A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0015341 | 05 |
| Street Address |
285 VISTA DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851552483 | Skyline Surgery Center, LLC | Clinic/Center | 285 Vista Dr, Ste C, Pocatello, ID 83201 | 2008-06-17 |
| 1003380783 | Edwards Enterprises LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2019-01-16 |
| 1588160881 | Daniel Anesthesia PC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2018-04-04 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1356728810 | Anesthesia Zzz LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-04 |
| 1144652694 | Timothy Morgan Naylor | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2013-08-07 |
| 1073857991 | Valley View Anesthesia Pa | Anesthesiology | 285 Vista Dr, Pocatello, ID 83201-4987 | 2012-11-15 |
| 1164774923 | Sm Maloff Md PC | Plastic Surgery | 285 Vista Dr, Pocatello, ID 83201-4987 | 2012-10-03 |
| 1053605907 | Laura M Sprague | Physical Therapist | 285 Vista Dr, Suite A, Pocatello, ID 83201-4987 | 2011-06-07 |
| 1972808806 | Psychiatry-ect, Pllc | Psychiatry & Neurology | 285 Vista Dr, Suite D, Pocatello, ID 83201 | 2011-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1013482207 | Griffin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1157 Call Pl, Pocatello, ID 83201-4008 | 2018-10-04 |
| 1871925057 | Dewey Michael Driscoll | Nurse Anesthetist, Certified Registered | 333 North 18th, Bldg A, Pocatello, ID 83201 | 2013-07-30 |
| 1316570757 | Mark Alan Pendleton | Nurse Anesthetist, Certified Registered | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-02-13 |
| 1003380783 | Edwards Enterprises LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2019-01-16 |
| 1407353428 | Advanced Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2018-04-06 |
| 1588160881 | Daniel Anesthesia PC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2018-04-04 |
| 1356728810 | Anesthesia Zzz LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-04 |
| 1497154207 | Richard Aaron Marler | Nurse Anesthetist, Certified Registered | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-08-18 |
| 1144652694 | Timothy Morgan Naylor | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2013-08-07 |
| 1568802569 | Kenneth Michael Knapp | Nurse Anesthetist, Certified Registered | 333 N 18th Ave Ste A, Pocatello, ID 83201-3358 | 2013-07-05 |
| Find all providers in POCATELLO | ||||
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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.