Henry M Adams, CRNA | |
1485 Parkway Dr, Blackfoot, ID 83221-1667 | |
(208) 785-5100 | |
Not Available |
Full Name | Henry M Adams |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1485 Parkway Dr, Blackfoot, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497833537 | NPI | - | NPPES |
1497833537 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA362 (Idaho) | Primary |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Blackfoot Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093826513 PECOS PAC ID: 8224006101 Enrollment ID: O20040918000199 |
Entity Name | Ambulatory Surgery Center Of Burley, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125 |
Entity Name | Grove City Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144511452 PECOS PAC ID: 6901084326 Enrollment ID: O20110706000379 |
Entity Name | Valley View Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073857991 PECOS PAC ID: 5092960138 Enrollment ID: O20130221000363 |
Entity Name | Madison Avenue Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1225488216 PECOS PAC ID: 0244524395 Enrollment ID: O20160811002150 |
Mailing Address | Practice Location Address |
---|---|
Henry M Adams, CRNA Po Box 2193, Idaho Falls, ID 83403-2193 Ph: (208) 552-8777 | Henry M Adams, CRNA 1485 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-5100 |
Blake G Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100 | |
Mr. Ryan T Sayre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Jed D Hanks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3830 | |
Brandon K Pieper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Grant Gundersen, CNRA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 646 W 300 S, Blackfoot, ID 83221 Phone: 208-760-7529 | |
Zachary D Morrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |