David Madison Foster, CRNA | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 727-2056 | |
(770) 701-6675 |
Full Name | David Madison Foster |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1034 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477830339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 087962 (Utah) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 6579518-4406 (Utah) | Primary |
Entity Name | Mountain View Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | North Canyon Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Entity Name | Ambulatory Surgery Center Of Burley, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125 |
Entity Name | Twin Falls Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952683625 PECOS PAC ID: 6204095409 Enrollment ID: O20120307000605 |
Mailing Address | Practice Location Address |
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David Madison Foster, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | David Madison Foster, CRNA 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 727-2056 |
Sarah Ward Barnaby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-727-2056 Fax: 770-701-6675 | |
Rodney L Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604 Phone: 801-375-8049 Fax: 801-374-9195 | |
Chase Bazil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 N State St Ste 105, Provo, UT 84604 Phone: 801-655-5245 | |
Shelby Lyn Beck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 | |
Joyce Westphal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-375-0983 Fax: 801-375-0988 | |
Samantha Anderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 608-695-0168 | |
Dirk Bradley Bahoravitch, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 |