| Jonah Cooper, | |
|
2537 W State St Ste 200, Boise, ID 83702-2200 | |
| (208) 336-0895 | |
| Not Available |
| Full Name | Jonah Cooper |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2537 W State St Ste 200, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669291365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN750796 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 153135 (Pennsylvania) | Primary |
| Entity Name | Anesthesia Associates Of Boise, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonah Cooper, 116 Heberling St, Beaver Falls, PA 15010-1272 Ph: (724) 312-8407 | Jonah Cooper, 2537 W State St Ste 200, Boise, ID 83702-2200 Ph: (208) 336-0895 |
Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796 | |
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 | |
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559 | |
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416 |