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FREMONT ANESTHESIA ASSOCIATE PLLC NPI 1053508564


NPI Information

NPI: 1053508564
Provider Name: FREMONT ANESTHESIA ASSOCIATE, PLLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
2100 W SUNSET DR
RIVERTON, WY
ZIP 82501
Phone: (800) 967-1646
Get Directions

FREMONT ANESTHESIA ASSOCIATE, PLLC is a nurse anesthetist certified registered in Riverton, WY. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. FREMONT ANESTHESIA ASSOCIATE, PLLC NPI is 1053508564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 W SUNSET DR
RIVERTON, WY
ZIP 82501-274
Phone: (800) 967-1646
Fax: (317) 567-2191

The provider's authorized official is Matthew A Mullinix .
The authorized official title is Managing Group Member and has the following contact phone number (307) 856-4161.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 11/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyWYOMINGNo
2367500000XNurse Anesthetist, Certified RegisteredWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DG4268OTHERWYOMINGRAILROAD MEDICARE
221612MEDICARE PINWYOMING
306208001OTHERWYOMINGBCBS
41053508564MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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