Mr Robert David Boardman, CRNA | |
726 4th St, Marysville, CA 95901-5656 | |
(530) 749-4300 | |
Not Available |
Full Name | Mr Robert David Boardman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 40 Years |
Location | 726 4th St, Marysville, California |
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 |
---|---|---|---|
1417983321 | NPI | - | NPPES |
102971314 | Medicaid | MI | |
1013013481 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704179940 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NA4354 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nph Anesthesia Of Utah Llc | 9537584313 | 94 |
Entity Name | Rocky Mountain Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170 |
Entity Name | Nph Anesthesia Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert David Boardman, CRNA 171 Talmont Cir, Roseville, CA 95678-6059 Ph: (916) 666-8315 | Mr Robert David Boardman, CRNA 726 4th St, Marysville, CA 95901-5656 Ph: (530) 749-4300 |
James Babeshoff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Dennis Dan Carballo Sy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-751-4295 | |
Ryan Huish, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-751-7295 | |
James R Sundet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Alexandrina Braica, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Angela Torres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Mrs. Heidi Roth Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 4th St, Suite A, Marysville, CA 95901 Phone: 530-741-3937 Fax: 530-741-2109 |