| Brock Smith, CRNA | |
|
9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | |
| (253) 968-2960 | |
| Not Available |
| Full Name | Brock Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9040 Fitzsimmons Dr, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932175114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 22290 (Montana) | Primary |
| Entity Name | Community Hospital Of Anaconda |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045 |
| Entity Name | Community Hospital Of Anaconda |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745 |
| Entity Name | Livingston Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245222306 PECOS PAC ID: 5991613598 Enrollment ID: O20031122000111 |
| Entity Name | Butte Pain And Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205869468 PECOS PAC ID: 9133012735 Enrollment ID: O20040206000325 |
| Entity Name | Barrett Hospital Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1396286480 PECOS PAC ID: 4082904487 Enrollment ID: O20170223001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Smith, CRNA 8326 Jamieson Ct Sw, Tumwater, WA 98512-2469 Ph: () - | Brock Smith, CRNA 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 Ph: (253) 968-2960 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Nicki L Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2915 S Alder St, Tacoma, WA 98409 Phone: 253-473-0275 | |
Clara Leister Swanson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431 Phone: 802-356-5336 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 |