WOODLAND PARK ANESTHESIA LLC
NPI 1417249996
Nurse Anesthetist, Certified Registered in Woodland Park, CO

Q: What is Woodland Park Anesthesia LLC's NPI number?

The NPI number for Woodland Park Anesthesia LLC is 1417249996. It was assigned to this organization in the NPPES registry on May 3, 2011.

Q: What is Woodland Park Anesthesia LLC's specialty?

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

Active since May 03, 2011

16420 W US HIGHWAY 24, WOODLAND PARK, CO 80863(719) 687-9989 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Woodland Park Anesthesia Llc NPPES

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

WOODLAND PARK ANESTHESIA LLC (NPI 1417249996) is a healthcare organization registered as a nurse anesthetist, certified registered in Woodland Park, Colorado and active in the NPI registry since May 2011. The organization lists Lonnie W Clark, President, as its authorized official.

NPPES Registry Identity

NPI1417249996

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameWOODLAND PARK ANESTHESIA LLC

Location Address16420 W US HIGHWAY 24Woodland Park, CO 80863-8760

Mailing AddressPo Box 9040Woodland Park, CO 80866-9040 · (719) 900-3960

Phone(719) 687-9989

Organization SubpartNo

Authorized OfficialLonnie W ClarkPresident · (806) 790-3928

Enumeration DateMay 3, 2011

Last NPPES UpdateDecember 10, 2020

NPPES CertifiedDecember 10, 2020

✔ NPI 1417249996 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.

16420 W US HIGHWAY 24, Woodland Park, CO 80863

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Other Identifiers 2

OtherCOAAA0139CO · Medicare Ptan

Medicaid09932275CO

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

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.

MRS. MARZELLE CLAASSEN BLACK PT

Physical Therapist