Fred John Jowdy, CRNA | |
2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814-2662 | |
(208) 765-8585 | |
(208) 765-8486 |
Full Name | Fred John Jowdy |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 2204 Ironwood Pl Ste B, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588861371 | NPI | - | NPPES |
807814700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | IT40000981 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA-696A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Coeur D Alene Pllc | 2365427838 | 45 |
Entity Name | Anesthesia Associates Of Coeur D Alene Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475 |
Mailing Address | Practice Location Address |
---|---|
Fred John Jowdy, CRNA 150 Bluff Ave, North Augusta, SC 29841-3862 Ph: (800) 394-4445 | Fred John Jowdy, CRNA 2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814-2662 Ph: (208) 765-8585 |
Joshua Leppert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Ms. Nuria M Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Ryan C Golob, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 | |
Kevin M Knopp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Richard J Gerhard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1705 N Government Way, Coeur D Alene, ID 83814 Phone: 208-765-8585 Fax: 208-765-8486 | |
Joanna M Minetti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W Ironwood Dr Ste 250, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Trent Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3696 E Sky Harbor Dr, Coeur D Alene, ID 83814 Phone: 208-818-5273 |