FREMONT ANESTHESIA ASSOCIATE, PLLC
NPI 1053508564
Nurse Anesthetist, Certified Registered in Riverton, WY

Q: What is Fremont Anesthesia Associate, PLLC's NPI number?

The NPI number for Fremont Anesthesia Associate, PLLC is 1053508564. It was assigned to this organization in the NPPES registry on September 28, 2007.

Q: What is Fremont Anesthesia Associate, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since September 28, 2007

2100 W SUNSET DR, RIVERTON, WY 82501(800) 967-1646(317) 567-2191 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fremont Anesthesia Associate, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREMONT ANESTHESIA ASSOCIATE, PLLC (NPI 1053508564) is a healthcare organization registered as a nurse anesthetist, certified registered in Riverton, Wyoming and active in the NPI registry since September 2007. The organization lists Matthew A Mullinix, Managing Group Member, as its authorized official.

NPPES Registry Identity

NPI1053508564

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameFREMONT ANESTHESIA ASSOCIATE, PLLC

Location Address2100 W SUNSET DRRiverton, WY 82501-2274

Mailing AddressPo Box 30918Billings, MT 59116-0918 · (317) 567-2180 · Fax (317) 567-2191

Phone(800) 967-1646

Fax(317) 567-2191

Organization SubpartNo

Authorized OfficialMatthew A MullinixManaging Group Member · (307) 856-4161

Enumeration DateSeptember 28, 2007

Last NPPES UpdateNovember 25, 2009

✔ NPI 1053508564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(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.

Also ListedAnesthesiologyTaxonomy 207L00000X

2100 W SUNSET DR, Riverton, WY 82501

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Other Identifiers 4

OtherDG4268WY · Railroad Medicare

Medicare PIN21612WY

Other06208001WY · Bcbs

Medicaid1053508564WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERTON MEMORIAL HOSPITAL LLC

Medicare Defined Swing Bed Unit