| Brian Shawn Smith, CRNA | |
|
95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | |
| (970) 731-3700 | |
| (970) 731-3707 |
| Full Name | Brian Shawn Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 95 S Pagosa Blvd, Pagosa Springs, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750549390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0993063-CRNA (Colorado) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901707 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pagosa Springs Medical Center | Pagosa springs, CO | Hospital |
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Animas Surgical Hospital Llc | 0143295428 | 52 |
| Upper San Juan Health Service District | 2769571892 | 32 |
| Entity Name | Upper San Juan Health Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1245401561 PECOS PAC ID: 2769571892 Enrollment ID: O20080728000382 |
| Entity Name | Animas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
| Entity Name | Upper San Juan Health Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659523058 PECOS PAC ID: 2769571892 Enrollment ID: O20090817000200 |
| Entity Name | Animas Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104 |
| Entity Name | Arkansas Valley Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1609320514 PECOS PAC ID: 9436062833 Enrollment ID: O20180205002945 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Shawn Smith, CRNA 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 | Brian Shawn Smith, CRNA 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 |