GARY R JOHANSON CRNA
NPI 1700836418
Nurse Anesthetist, Certified Registered in Pocatello, ID

Q: What is Gary Johanson's NPI number?

The NPI number for Gary Johanson is 1700836418. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Gary Johanson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Johanson was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 11, 2006

1950 E CLARK ST, SUITE G, POCATELLO, ID 83201(208) 232-7760(208) 232-1950 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary R Johanson Crna NPPES

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

GARY R JOHANSON CRNA (NPI 1700836418) is an individual nurse anesthetist, certified registered in Pocatello, Idaho, licensed in Idaho (RNA-28A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1700836418

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGARY R JOHANSONCredential: CRNA

Location Address1950 E CLARK ST, SUITE GPocatello, ID 83201-3314

Mailing AddressPo Box 4107Pocatello, ID 83205-4107 · (208) 232-7760 · Fax (208) 232-1950

Phone(208) 232-7760

Fax(208) 232-1950

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateOctober 19, 2011

✔ NPI 1700836418 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

License✔ Licensed in ID · RNA-28A

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 ListedRegistered NurseTaxonomy 163W00000X · License N15687 (ID)

1950 E CLARK ST, Pocatello, ID 83201

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Other Identifiers 2

Medicare ID-Type Unspecified1600474ID

Medicaid004371700ID

Other Providers at the Same Location NPPES 8

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

MRS. CHERYL E RODNICK OTR L, CHT

Occupational Therapist (Hand)

1950 E CLARK ST, STF
POCATELLO, ID 83201

Bannock County (208) 232-2915

KAREN DONCOUSE CRNA

Nurse Anesthetist, Certified Registered

1950 E CLARK ST, SUITE G
POCATELLO, ID 83201

Bannock County (208) 232-7760

MICHAEL J. GREGSON, M.D., P.A.

Specialist

1950 E CLARK ST, SUITE C
POCATELLO, ID 83201

Bannock County (208) 232-8300

DR. STEVE M SKOUMAL MD

Pathology (Anatomic Pathology & Clinical Pathology)

1950 E CLARK ST, SUITE D
POCATELLO, ID 83201

Bannock County (208) 233-3794

SHIRLEY YELLOWHAIR CST

1950 E CLARK ST, STE A
POCATELLO, ID 83201

Bannock County (208) 232-5550

DALE T KNIEVEL CRNA

Nurse Anesthetist, Certified Registered

1950 E CLARK ST, SUITE G
POCATELLO, ID 83201

Bannock County (208) 232-7760

CASSIDY B WATERMAN CRNA

Nurse Anesthetist, Certified Registered

1950 E CLARK ST, SUITE G
POCATELLO, ID 83201

Bannock County (208) 232-7760

DAKOTA WILSON PA-C

Physician Assistant

1950 E CLARK ST
POCATELLO, ID 83201

Bannock County (208) 232-7246

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 Gary Johanson's NPI number?

The NPI number for Gary Johanson is 1700836418. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Gary Johanson located?

Gary Johanson practices at 1950 E Clark St Suite G, Pocatello, ID 83201. The listed phone number is (208) 232-7760.

What is Gary Johanson's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Johanson was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.