Trevor Drake
INTERMOUNTAIN ANESTHESIA PA


Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: 2085296111

Trevor Drake (NPI# 1760884803, PAC ID# 3577881499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1760884803
PAC ID by PECOS 3577881499
Professional Enrollment ID I20150406000556
Full Name Trevor Drake
Organization Legal Name INTERMOUNTAIN ANESTHESIA PA
Address 3100 Channing Way
Idaho Falls
ID 83404-7533
Phone Number 2085296111
Gender M
Graduation Year 2014
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 5193638781
Number of Group Practice Members 28
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130018 EASTERN IDAHO REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3100 Channing Way, Idaho Falls, ID 83404-7533 2085296111 INTERMOUNTAIN ANESTHESIA PA

Organization Information

Organization Legal Name INTERMOUNTAIN ANESTHESIA PA
Physicians 23

Physicians with the same organization

Name Specialty Organization Address
Reed D Loertscher Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Lara K Knowles Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Mikael B Crapo Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Marc E Murphy Anesthesiology Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Jay M Tingey Anesthesiology Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Christian D Monson Anesthesiology Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Douglas G Jex Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Jacob L Rowberry Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Michael S Mickelsen Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Jeffrey L Taylor Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533

Office Location

Street Address 3100 CHANNING WAY
City IDAHO FALLS
State ID
Zip 83404-7533

Physicians in the same location

Name Specialty Organization Address
Reed D Loertscher Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Lara K Knowles Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Sean D Anderson Physical Medicine and Rehabilitation Eirmc Hospitalist Services LLC 3100 Channing Way, Idaho Falls, ID 83404-7533
Mikael B Crapo Certified Registered Nurse Anesthetist (crna) Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Matt Tannenbaum Pathology Pathology Associates of Idaho Falls 3100 Channing Way, Idaho Falls, ID 83404-7533
Shawn Douglas Speirs Internal Medicine 3100 Channing Way, Idaho Falls, ID 83404-7533
Steven Chase Cook Nurse Practitioner Burn and Reconstructive Centers of Idaho Pllc 3100 Channing Way, Idaho Falls, ID 83404-7533
Marc E Murphy Anesthesiology Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Jay M Tingey Anesthesiology Intermountain Anesthesia Pa 3100 Channing Way, Idaho Falls, ID 83404-7533
Clark Rainey Daines Pathology Pathology Associates of Idaho Falls 3100 Channing Way, Idaho Falls, ID 83404-7533
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Ann Sharp-marsden Nurse Practitioner 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225
Lisa Hong Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brent Kennedy Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Heidi Duran Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Rebecca L Butikofer Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kristan Bullock Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Dawn Taylor Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brenda Padron Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kimberly Stowell Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Michael Anderson Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Find all physicians in zip 83404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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