Martini Anesthesia Services LLC
Nurse Anesthetist, Certified Registered in Sheridan, WY. Organization (NPI-2).
Details
- NPI
- 1689395774
- Entity type
- Organization (NPI-2)
- Legal business name
- Martini Anesthesia Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2022
- Certification date
- Sep 7, 2022
- Last updated
- Sep 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 | – | – | Yes |
Practice location
1524 W 5th StSheridan, WY 82801-2707
Phone 307-672-7874
Mailing address
Po Box 3636Idaho Falls, ID 83403-3636
Phone 208-525-2090 · Fax 208-523-8978
Authorized official
Cody K Martini
Owner
2085252090
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.
Other Certified Registered Nurse Anesthetist providers in Sheridan, WY
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All 5 Certified Registered Nurse Anesthetist providers in Sheridan · All 1,327 providers in Sheridan
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