ANESTHESIA WEST, PA
NPI 1639238439
Nurse Anesthetist, Certified Registered in Burley, ID

Q: What is Anesthesia West, PA's NPI number?

The NPI number for Anesthesia West, PA is 1639238439. It was assigned to this organization in the NPPES registry on December 7, 2006.

Q: What is Anesthesia West, PA's specialty?

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

Active since December 07, 2006

1501 HILAND AVE, BURLEY, ID 83318(208) 525-2090(208) 525-2662 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Anesthesia West, Pa NPPES

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

ANESTHESIA WEST, PA (NPI 1639238439) is a healthcare organization registered as a nurse anesthetist, certified registered in Burley, Idaho and active in the NPI registry since December 2006. The organization lists Chris Chad Fugate, President, as its authorized official.

NPPES Registry Identity

NPI1639238439

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameANESTHESIA WEST, PA

Location Address1501 HILAND AVEBurley, ID 83318-2682

Mailing AddressPo Box 3659Idaho Falls, ID 83403-3659 · (208) 525-2090 · Fax (208) 525-2662

Phone(208) 525-2090

Fax(208) 525-2662

Organization SubpartNo

Authorized OfficialChris Chad FugatePresident · (208) 525-2090

Enumeration DateDecember 7, 2006

Last NPPES UpdateFebruary 15, 2011

✔ NPI 1639238439 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 ID · N-16877

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.

1501 HILAND AVE, Burley, ID 83318

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Other Identifiers 1

Medicare ID-Type Unspecified1375880ID

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.

TENNILLE IRENE HOUSTON MHE, RD, LD, CDE

Dietitian, Registered

1501 HILAND AVE, CASSIA REGIONAL MEDICAL CENTER
BURLEY, ID 83318

Cassia County (208) 677-6587

JENNIFER RAAE-NIELSEN MD

Emergency Medicine