GREAT BASIN ANESTHESIA (NPI# 1861560351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861560351 |
| Entity Type | Organization |
| Organization Name | GREAT BASIN ANESTHESIA |
| Practice Address |
1600 W Antelope Dr Layton UT 84041-1142 |
| Mailing Address |
Po Box 856 Kaysville UT 84037-0856 |
| Practice Telephone | 8015470202 |
| Mailing Telephone | 8015470202 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER A NEWLIN (OWNER) |
| Authorized Official Telephone | 8015470202 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1600 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396770 | Brian Clint Hales | Anesthesiology | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2005-12-15 |
| 1134741267 | Casey Gayland Jones | Pharmacist | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-05-12 |
| 1174159123 | Nichole Laura Stahle | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1467088419 | Brooke Maughan Lister | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 1952862310 | Rosalyn Smith Warner | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2019-03-28 |
| 1699269530 | Olivia Morgan Harris | Physical Therapist | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2018-06-14 |
| 1871092569 | Trina Louise Bury | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2018-02-08 |
| 1912411307 | Alyssa Ann Dean | Registered Nurse | 1600 W Antelope Dr, Layton, UT 84041 | 2017-11-22 |
| 1235541848 | Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720133507 | Layton Physical Therapy & Sports Medicine Inc | Specialist | 1868 N. 1200 W., Ste #a, Layton, UT 84041-1937 | 2007-01-24 |
| 1972681021 | Kenneth R. Kofoed | Specialist | 1660 W Antelope Dr, Suit 115, Layton, UT 84041-1156 | 2006-11-02 |
| 1811345952 | Deborah Stauffer | Specialist | 201 W Layton Pkwy Fl 3, Layton, UT 84041-3692 | 2016-05-31 |
| 1689868523 | Utah Hematology Oncology PC | Specialist | 2132 N 1700 W, Suite 301, Layton, UT 84041-7057 | 2007-09-04 |
| 1780895532 | Rocky Mountain Therapeutic Massage | Specialist | 1025 N Main St, Layton, UT 84041-4857 | 2007-05-24 |
| 1508073545 | Kidney & Hypertension Institute of Utah Pllc | Specialist | 2132 N 1700 W, Ste 110, Layton, UT 84041-7057 | 2007-05-17 |
| 1669594727 | Davis Hospital Holdings, Inc. | Specialist | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2007-04-06 |
| 1215060413 | Alexander Ramirez | Specialist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-03-14 |
| 1811043789 | Lds Family Services | Specialist | 930 W Hill Field Rd, Suite A, Layton, UT 84041-4687 | 2007-01-25 |
| 1508952615 | Lori K Ramirez | Specialist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2006-10-05 |
| Find all providers in LAYTON | ||||
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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.