FOUR CREEKS ANESTHESIA SERVICES LLC (NPI# 1982832333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982832333 |
| Entity Type | Organization |
| Organization Name | FOUR CREEKS ANESTHESIA SERVICES LLC |
| Practice Address |
9730 3rd Ave Ne Suite 200 Seattle WA 98115-2023 |
| Mailing Address |
Po Box 97115 Lakewood WA 98497-0115 |
| Practice Telephone | 2069859553 |
| Practice Fax Number | 2069859806 |
| Mailing Telephone | 2535887911 |
| Mailing Fax Number | 2533656299 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | LOREN K COPELAND (PROVIDER/OWNER) |
| Authorized Official Telephone | 4256148124 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30007351 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RN00163428 RN LICENSE | AP30007351 | 01 |
| Street Address |
9730 3RD AVE NE SUITE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639153 | Jeffrey D. Green | Dentist | 9730 3rd Ave Ne, Ste 103, Seattle, WA 98115-2023 | 2005-06-16 |
| 1255991261 | Orange Poppy 5 Element Acupuncture | Acupuncturist | 9730 3rd Ave Ne, Seattle, WA 98115-2023 | 2019-06-20 |
| 1982075065 | Audra Andrews | Acupuncturist | 9730 3rd Ave Ne, #202, Seattle, WA 98115-2023 | 2015-10-14 |
| 1972970895 | Emerald Center for Integrative Medicine, LLC | Non-Pharmacy Dispensing Site | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2015-08-26 |
| 1639437973 | Thom Markeson Dentistry, Ps | Dentist | 9730 3rd Ave Ne, Suite 107, Seattle, WA 98115-2023 | 2012-04-24 |
| 1568734200 | Teresa Aileen Goldsmith | Naturopath | 9730 3rd Ave Ne, Suite #202, Seattle, WA 98115-2023 | 2012-01-26 |
| 1912211772 | Elizabeth S Smoots | Family Medicine | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2010-08-03 |
| 1538312038 | Gary L Bell Dds Ps | Dentist | 9730 3rd Ave Ne, Suite 204, Seattle, WA 98115-2023 | 2008-10-28 |
| 1730338252 | Edward Lloyd Mosshart | Counselor | 9730 3rd Ave Ne, Suite 101, Seattle, WA 98115-2023 | 2008-09-09 |
| 1801050786 | Emerald Center for Integrative Medicine LLC | Psychologist | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| 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 |
|---|---|---|---|---|
| 1063043982 | Jose Daniel Olivera | Nurse Anesthetist, Certified Registered | 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 | 2020-01-29 |
| 1942765359 | Ethereal Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 | 2019-02-11 |
| 1275933962 | Ally Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 914 N 70th St, Seattle, WA 98103-5335 | 2014-08-29 |
| 1174822977 | Sentinel Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 8120 23rd Ct Ne, Seattle, WA 98115-4534 | 2011-03-18 |
| 1053622720 | Ashley Elizabeth Fedan | Nurse Anesthetist, Certified Registered | 215 1st Ave W Apt 711, Seattle, WA 98119-4257 | 2010-06-28 |
| 1508086422 | N W Eye Surgeons P C | Nurse Anesthetist, Certified Registered | 10330 Meridian Ave N Ste 370, Seattle, WA 98133 | 2007-04-26 |
| 1104049915 | Level One Anesthesia,pllc | Nurse Anesthetist, Certified Registered | 317 Ne 75th St, Seattle, WA 98115-4023 | 2007-04-10 |
| 1700923026 | Patrick Ludwig Klimczyk | Nurse Anesthetist, Certified Registered | 2801 Nw 93rd St, Seattle, WA 98117-2936 | 2007-01-30 |
| 1821140062 | Adrienne S. Pape | Nurse Anesthetist, Certified Registered | 700 Minor Ave, Seattle, WA 98104-2146 | 2007-01-17 |
| 1700815578 | Erica J Mccall | Nurse Anesthetist, Certified Registered | Uwmc, 1959 Ne Pacific Mail Code 356118, Seattle, WA 98195-0001 | 2006-07-02 |
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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.