Todd James Hartley, CRNA
Nurse Anesthetist, Certified Registered in Payson, UT. Individual provider (NPI-1).
NPI number1679916670
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1679916670
- Entity type
- Individual (NPI-1)
- Name
- Todd James Hartley
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2013
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 5369390-4406 | UT | Yes |
Practice location
1638 S 500 WPayson, UT 84651-8600
Phone 801-372-4523
Mailing address
1638 S 500 WPayson, UT 84651-8600
Phone 801-372-4523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Certified Registered Nurse Anesthetist providers in Payson · All 440 providers in Payson
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