Charles Stiff, CRNA | |
520 S Eagle Rd, Suite 3104, Meridian, ID 83642-6308 | |
(208) 373-1200 | |
Not Available |
Full Name | Charles Stiff |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 520 S Eagle Rd, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174557011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | N-25781 (Idaho) | Primary |
Entity Name | Overton/stiff Professional Anesthesia Service Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417065152 PECOS PAC ID: 6901793975 Enrollment ID: O20040507001312 |
Mailing Address | Practice Location Address |
---|---|
Charles Stiff, CRNA Po Box 2203, Idaho Falls, ID 83403-2203 Ph: (208) 525-2090 | Charles Stiff, CRNA 520 S Eagle Rd, Suite 3104, Meridian, ID 83642-6308 Ph: (208) 373-1200 |
Heather J Nasker, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3235 N Towerbridge Way, #100, Meridian, ID 83646 Phone: 208-412-8177 | |
Clayton Sanders, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Marguerite Overton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Steven Berg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Tyler Daniels, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Mr. Ryan Steed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4248 E Tahiti St, Meridian, ID 83646 Phone: 801-404-4234 |