Mr Timothy Morgan Naylor, CRNA | |
285 Vista Dr, Pocatello, ID 83201-4987 | |
(208) 478-1704 | |
Not Available |
Full Name | Mr Timothy Morgan Naylor |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 285 Vista Dr, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144652694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN626053 (Pennsylvania) | Primary |
Entity Name | Valley View Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073857991 PECOS PAC ID: 5092960138 Enrollment ID: O20130221000363 |
Entity Name | Northstar Anesthesia Of Idaho Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037 |
Mailing Address | Practice Location Address |
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Mr Timothy Morgan Naylor, CRNA Po Box 3750, Salt Lake City, UT 84110-3750 Ph: (800) 880-3566 | Mr Timothy Morgan Naylor, CRNA 285 Vista Dr, Pocatello, ID 83201-4987 Ph: (208) 478-1704 |
Nicholas Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Mark Alan Pendleton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 082-391-0562 Fax: 208-239-3626 | |
Jamie Leigh Cassinat, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-209-1000 | |
Eric Michael Stradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Richard Aaron Marler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201 Phone: 208-233-8880 Fax: 208-232-1950 | |
Mr. Kenneth Michael Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 |