ART OF MODERN ANESTHESIA PC - NPI 1063824969 - Nurse Anesthetist, Certified Registered in Ogden, UT

Q: What is the provider's specialty?

The provider's specialty is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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About Art Of Modern Anesthesia Pc NPPES

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

ART OF MODERN ANESTHESIA PC (NPI 1063824969) is a healthcare organization registered as a nurse anesthetist, certified registered in Ogden, Utah and active in the NPI registry since May 2014. The organization lists Manardie Francis Shimata, Owner, as its authorized official.

NPPES Registry Identity

NPI1063824969

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameART OF MODERN ANESTHESIA PC

Location Address3480 WASHINGTON BLVD STE 105Ogden, UT 84401-4149

Mailing AddressPo Box 1468Bountiful, UT 84011-1468 · (801) 296-2113 · Fax (801) 296-1715

Phone(801) 392-0385

Organization SubpartNo

Authorized OfficialManardie Francis ShimataOwner · (801) 392-0385

Enumeration DateMay 27, 2014

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1063824969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

License✔ Licensed in UT · 2775864406

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.

3480 WASHINGTON BLVD STE 105, Ogden, UT 84401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›