Shane Everett Stockwell, CRNA | |
3495 W Kamran Ridge Cv, South Jordan, UT 84095-8499 | |
(304) 982-9556 | |
Not Available |
Full Name | Shane Everett Stockwell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 3495 W Kamran Ridge Cv, South Jordan, Utah |
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 |
---|---|---|---|
1346334018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 64006 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3086781-4406 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Anesthesia, Llc | 4486993862 | 10 |
Greater Anesthesia Solutions | 9234357906 | 158 |
Entity Name | Mountain View Anesthesia Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626 |
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 | Md Rasmussen Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790927044 PECOS PAC ID: 4486792892 Enrollment ID: O20091105000027 |
Entity Name | Eye Surg Of Utah, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1629069281 PECOS PAC ID: 5799829321 Enrollment ID: O20100220000393 |
Entity Name | Utah Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235626417 PECOS PAC ID: 4486993862 Enrollment ID: O20190301000531 |
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 |
---|---|
Shane Everett Stockwell, CRNA 3495 W Kamran Ridge Cv, South Jordan, UT 84095-8499 Ph: (304) 982-9556 | Shane Everett Stockwell, CRNA 3495 W Kamran Ridge Cv, South Jordan, UT 84095-8499 Ph: (304) 982-9556 |
Nathan A. Sager, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4493 W Open Hill Dr, South Jordan, UT 84009 Phone: 801-660-5790 |