MOSCOW MOUNTAIN ANESTHESIA, PLLC
NPI 1275074486
Nurse Anesthetist, Certified Registered in Moscow, ID

Active since March 20, 2017
2300 W A ST, MOSCOW, ID 83843(208) 883-1500(208) 882-7701 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2017, Mar 20, 2017 (2 updates tracked since 2017).

About Moscow Mountain Anesthesia, Pllc NPPES

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

MOSCOW MOUNTAIN ANESTHESIA, PLLC (NPI 1275074486) is a healthcare organization registered as a nurse anesthetist, certified registered in Moscow, Idaho and active in the NPI registry since March 2017. The organization lists Edward Winterbottom, President, as its authorized official.

NPPES Registry Identity

NPI1275074486
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMOSCOW MOUNTAIN ANESTHESIA, PLLC
Location Address2300 W A STMoscow, ID 83843-4038
Mailing Address2300 W A StMoscow, ID 83843-4038 · (208) 883-1500 · Fax (208) 882-7701
Fax(208) 882-7701
Organization SubpartNo
Authorized OfficialEdward WinterbottomPresident · (208) 883-1500
Enumeration DateMarch 20, 2017
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
NPI 1275074486 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
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.
2300 W A ST, Moscow, ID 83843

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

Other Providers at the Same Location NPPES 5

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

Anesthesiology
2300 W A ST
MOSCOW, ID 83843
Nurse Anesthetist, Certified Registered
2300 W A ST
MOSCOW, ID 83843
Nurse Anesthetist, Certified Registered
2300 W A ST
MOSCOW, ID 83843
Clinic/Center (Ambulatory Surgical)
2300 W A ST
MOSCOW, ID 83843
Nurse Anesthetist, Certified Registered
2300 W A ST
MOSCOW, ID 83843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moscow Mountain Anesthesia, PLLC's NPI number?

The NPI number for Moscow Mountain Anesthesia, PLLC is 1275074486. It was assigned to this organization in the NPPES registry on March 20, 2017.

Where is Moscow Mountain Anesthesia, PLLC located?

Moscow Mountain Anesthesia, PLLC is located at 2300 W A St, Moscow, ID 83843. The listed phone number is (208) 883-1500.

What is Moscow Mountain Anesthesia, PLLC's specialty?

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

What insurance does Moscow Mountain Anesthesia, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Moscow Mountain Anesthesia, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moscow Mountain Anesthesia, PLLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.