MR. BRIAN BLAKE PURCELL (NPI# 1801273321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801273321 |
| Entity Type | Individual |
| Full Name | MR. BRIAN BLAKE PURCELL |
| Credential | CRNA |
| Practice Address |
1485 Parkway Dr Blackfoot ID 83221-1667 |
| Mailing Address |
Po Box 2193 Idaho Falls ID 83403-2193 |
| Practice Telephone | 2087855100 |
| Mailing Telephone | 2085528777 |
| Mailing Fax Number | 2085232025 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
N42090 | ID | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA-937A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1801273321 | 05 |
| Street Address |
1485 PARKWAY DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645574 | Parkway Surgery Center LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-08-31 |
| 1659873388 | Mvh Parkway LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2018-03-08 |
| 1013278993 | Parkway Surgery Center LLC | Durable Medical Equipment & Medical Supplies | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2012-06-06 |
| 1144511452 | Grove City Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2011-04-21 |
| 1063590107 | Blake G Purcell | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-11-02 |
| 1497833537 | Henry M Adams | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| 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 |
|---|---|---|---|---|
| 1467863829 | Grant Gundersen | Nurse Anesthetist, Certified Registered | 646 W 300 S, Blackfoot, ID 83221-6334 | 2014-05-19 |
| 1699268276 | Zachary D Morrow | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-06-08 |
| 1821528084 | Cory James Sayre | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221 | 2017-06-19 |
| 1922530062 | Shawn A Wren | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221 | 2017-03-29 |
| 1770928244 | Jess Field | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2013-05-09 |
| 1386992097 | Jed D Hanks | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2012-08-28 |
| 1750651782 | East Idaho Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2012-01-06 |
| 1144511452 | Grove City Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2011-04-21 |
| 1245412063 | Ryan T Sayre | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-12-04 |
| 1063590107 | Blake G Purcell | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-11-02 |
| Find all providers in BLACKFOOT | ||||
Please comment or provide details below to improve the information on MR. BRIAN BLAKE PURCELL.
| 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.