| Ian Whitmarsh, CRNA | |
|
1120 S Utica Ave, Tulsa, OK 74104-4012 | |
| (918) 579-5207 | |
| Not Available |
| Full Name | Ian Whitmarsh |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1120 S Utica Ave, Tulsa, Oklahoma |
| 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 |
|---|---|---|---|
| 1821277542 | NPI | - | NPPES |
| 9655028 | Medicaid | WA | |
| RN00123820 | Other | WA | RN LICENSE |
| AP30007888 | Other | WA | WA LICENSE NUMBER |
| 0093190 | Other | OK | REGISTERED NURSE/CRNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007888 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Island Hospital | Anacortes, WA | Hospital |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Wa Anesthesia Services, Pc | 9335298884 | 84 |
| Entity Name | Paceline Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526 |
| Entity Name | Providence Wa Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
| Entity Name | Lake Washington Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962935197 PECOS PAC ID: 3678840543 Enrollment ID: O20170524001681 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201002002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Whitmarsh, CRNA Po Box 7389, Attn: Rebecca Eason Cppa, Longview, TX 75607-7389 Ph: (888) 260-6614 | Ian Whitmarsh, CRNA 1120 S Utica Ave, Tulsa, OK 74104-4012 Ph: (918) 579-5207 |
Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400 | |
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 | |
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150 | |
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440 | |
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170 | |
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939 |