| Mr Aaron R Gopp, CRNA | |
|
351 Sw 9th St, Ontario, OR 97914 | |
| (541) 881-7140 | |
| Not Available |
| Full Name | Mr Aaron R Gopp |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 351 Sw 9th St, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144284423 | NPI | - | NPPES |
| 022548 | Medicaid | OR | |
| 1144284423 | Medicaid | ID | |
| 006401012 | Other | OR | REGENCE BCBSO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-585A (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 200560019CRNA (Oregon) | Primary |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
| Entity Name | Treasure Valley Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215992003 PECOS PAC ID: 2365414497 Enrollment ID: O20121213000463 |
| Entity Name | West Idaho Anesthesia, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871918318 PECOS PAC ID: 9133343031 Enrollment ID: O20140616001943 |
| Entity Name | Access Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053714717 PECOS PAC ID: 5193019230 Enrollment ID: O20160811001715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Aaron R Gopp, CRNA Po Box 2936, Idaho Falls, ID 83403-2936 Ph: (208) 552-8773 | Mr Aaron R Gopp, CRNA 351 Sw 9th St, Ontario, OR 97914 Ph: (541) 881-7140 |
Mr. Frederick R Starr, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7140 | |
Mr. Michael E Ohara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7140 | |
Russell Jon Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7000 | |
Spencer D Stucki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7000 | |
John R Kerfoot, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7146 | |
James Lee Heyrend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 702 N Dorian Dr, Ontario, OR 97914 Phone: 208-740-4134 Fax: 541-889-6114 |