Paul Lystrup (NPI# 1831499920, PAC ID# 9436335213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1831499920 |
| PAC ID by PECOS | 9436335213 |
| Professional Enrollment ID | I20130529000086 |
| Full Name | Paul Lystrup |
| Organization Legal Name | PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC |
| Address |
520 N 4th Ave Pasco WA 99301-5257 |
| Phone Number | 5095477704 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4880699172 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501337 | LOURDES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 520 N 4th Ave, Pasco, WA 99301-5257 | 5095477704 | PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC |
| 888 Swift Blvd, Richland, WA 99352-3514 | 5099464611 | PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 100% |
| Organization Legal Name | PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Hanson | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| John Badal | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Ramiz Gundkalli | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Stephen Michael Blatt | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Elise Garcia Head | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Jason Brody Anderson | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Tracy M Warden | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Allen J Follis | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Maricela Sanchez | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Kim S Reis | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 888 Swift Blvd, Richland, WA 99352-3514 |
| Street Address |
520 N 4TH AVE |
| City | PASCO |
| State | WA |
| Zip | 99301-5257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Lamb | Family Medicine | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Elise Garcia Head | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Sudeep D Thapa | Rheumatology | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Jasdip S Matharu | Internal Medicine | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Joseph E Mackay | Physical Therapy | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Matthew A Lamb | Emergency Medicine | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Amardeep S Mann | Cardiovascular Disease (cardiology) | Lourdes Hospital LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Benjamin Jacob Clark | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Jean C Hayes | Anesthesiology | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Christa Brown | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Richland A Division of Premier Anesthesia, LLC | 520 N 4th Ave, Pasco, WA 99301-5257 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Perkes | Chiropractic | Core Concepts Pllc | 5210 N Rd 68, Pasco, WA 99301 |
| Molly Mcdougall | Chiropractic | Core Concepts Pllc | 5210 N Rd 68, Pasco, WA 99301 |
| Matthew Sleeman | Chiropractic | Core Concepts Pllc | 5210 N Rd 68, Pasco, WA 99301 |
| Alex B Najera | Internal Medicine | 1620 N Rd, Suite 44, Pasco, WA 99301 | |
| Travis A Najera | Family Medicine | 1620 N Rd, Suite 44, Pasco, WA 99301-2667 | |
| Evelyn I Rodriguez | Family Medicine | Yakima Valley Farm Workers Clinic | 1608 N Rd, Suite 44, Pasco, WA 99301-2667 |
| Michael J Tacheny | Family Medicine | Yakima Valley Farm Workers Clinic | 1608 N Rd, Suite 44, Pasco, WA 99301-2667 |
| James U Opara | Family Medicine | Yakima Valley Farm Workers Clinic | 1608 N Rd, Suite 44, Pasco, WA 99301-2667 |
| Heather C Tacheny | Family Medicine | Yakima Valley Farm Workers Clinic | 1608 N Rd, Suite 44, Pasco, WA 99301-2667 |
| Alison D Madsen | Family Medicine | Yakima Valley Farm Workers Clinic | 1608 N Rd, Suite 44, Pasco, WA 99301-2667 |
| Find all physicians in zip 99301 | |||
| City | PASCO |
| Zip Code | 99301 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PASCO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.