Max H Shurtliff, CRNA | |
3580 W 9000 S, West Jordan, UT 84070 | |
(801) 993-9527 | |
(801) 733-5872 |
Full Name | Max H Shurtliff |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3580 W 9000 S, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851484489 | NPI | - | NPPES |
102600 | Other | UT | GEM |
293654 | Other | UT | DMBA |
39005 | Other | UT | PEHP |
870542403 84121 A003 | Other | UT | TRICARE |
PR00993 | Other | UT | MOLINA |
QMXAF01875 | Other | UT | ALTIUS |
107001189102 | Other | UT | IHC |
870542403SH1 | Other | UT | EDUCATORS MUTUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 212191-4406 (Utah) | Primary |
Entity Name | Rocky Mountain Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170 |
Entity Name | Md Rasmussen Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790927044 PECOS PAC ID: 4486792892 Enrollment ID: O20091105000027 |
Entity Name | Nph Anesthesia Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Mailing Address | Practice Location Address |
---|---|
Max H Shurtliff, CRNA 3618 W 6000 S, Roy, UT 84067 Ph: (801) 993-9527 | Max H Shurtliff, CRNA 3580 W 9000 S, West Jordan, UT 84070 Ph: (801) 993-9527 |
James Harned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-993-9527 | |
Jessica Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brandon Michael Allen, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brady Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 509-217-0698 |