BLACK MOUNTAIN ANESTHESIA GROUP
NPI 1639568058
Nurse Anesthetist, Certified Registered in Craig, CO

NPI Status: Active since January 22, 2015

Contact Information

750 HOSPITAL LOOP
CRAIG, CO
ZIP 81625
Phone: (970) 824-3000

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  • Organization
  • Nurse Anesthetist, Certified Registered

About BLACK MOUNTAIN ANESTHESIA GROUP

This page provides the complete NPI Profile along with additional information for Black Mountain Anesthesia Group, a provider established in Craig, Colorado operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1639568058 assigned on January 2015. The practitioner's primary taxonomy code is 367500000X with license number 0205032 (CO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. John Keith Prescott Msna (Crna)

NPI
1639568058
Provider Name
BLACK MOUNTAIN ANESTHESIA GROUP
Entity Type
Organization
Location Address
750 HOSPITAL LOOP CRAIG, CO 81625
Location Phone
(970) 824-3000
Mailing Address
1255 LECUYER DR CRAIG, CO 81625
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2015
Last Update Date
01-22-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0205032
License State
CO
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN KEITH PRESCOTT MSNA

Authorized Official Title
CRNA
Authorized Official Phone
(918) 850-5607

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639568058
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266910616010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 6 + 1 + 6 + 0 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639568058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720184351MR. MICHAEL H LYON CRNA
Individual
Nurse Anesthetist, Certified Registered750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1356407522DR. ROBERT LEE COLLINS M.D.
Individual
Clinical Medical Laboratory750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 826-2273
1467616680TAMARA K RICE MD PC
Organization
Anesthesiology750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-1088
1386921658REBECCA L. MOORE MD PROF CO LTD
Organization
Hospitalist750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1518050566RMR CRAIG PROF LLC
Organization
Radiology (Diagnostic Radiology)750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1497152581 MARSHALL KRAKER ATC
Individual
Specialist/Technologist (Athletic Trainer)750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9911
1275716508DR. TINH KHAI HUYN M.D.
Individual
Emergency Medicine750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1134659048KNERL MEDICINE LLC
Organization
Internal Medicine750 HOSPITAL LOOP
CRAIG, CO 81625
(702) 453-3799
1851803746 KELSIE BOND PA-C
Individual
Physician Assistant (Medical)750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1619997327 JOHN K PRESCOTT CRNA
Individual
Nurse Anesthetist, Certified Registered750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-1088
1760885586 JAROD SCHOEBERL P.A.
Individual
Physician Assistant750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 826-2450
1689650897 TED J AKERS MD
Individual
Family Medicine750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1275019820MOUNTAIN VALLEY ANESTHESIA
Organization
Nurse Anesthetist, Certified Registered750 HOSPITAL LOOP
CRAIG, CO 81625
(918) 850-5607
1538432679ROLAND KATO MEDICAL INC
Organization
Hospitalist750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 824-9411
1659729671 NETANA MACHACEK DO
Individual
Family Medicine750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 826-2400
1740629898 JEFFREY THOMAS OWSLEY DO
Individual
Internal Medicine (Hematology & Oncology)750 HOSPITAL LOOP
CRAIG, CO 81625
(702) 453-3799
1437757788CARDINAL PATHOLOGY, PC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)750 HOSPITAL LOOP MEMORIAL REGIONAL HEALTH
CRAIG, CO 81625
(970) 945-7564
1235751496 TRACY LYNN DENNEY OT.0005175
Individual
Occupational Therapist750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 871-2370
1982294500HEALTHONE CLINIC SERVICES - CARDIOVASCULAR LLC
Organization
Internal Medicine (Cardiovascular Disease)750 HOSPITAL LOOP
CRAIG, CO 81625
(970) 826-3110
1528650280HEALTHONE HEART CARE LLC
Organization
Internal Medicine (Cardiovascular Disease)750 HOSPITAL LOOP
CRAIG, CO 81625
(303) 750-0822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639568058, enumerated in the NPI registry as an "organization" on January 22, 2015

The provider is located at 750 Hospital Loop Craig, Co 81625 and the phone number is (970) 824-3000

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

This NPI record was last updated on January 22, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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