| Mr Frederick R Starr, CRNA | |
|
351 Sw 9th St, Ontario, OR 97914 | |
| (541) 881-7140 | |
| Not Available |
| Full Name | Mr Frederick R Starr |
|---|---|
| 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 |
|---|---|---|---|
| 1023073426 | NPI | - | NPPES |
| 1023073426 | Medicaid | ID | |
| 000522 | Medicaid | OR | |
| 006401011 | Other | OR | REGENCE BCBSO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200260016 (Oregon) | Primary |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| 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: O20040810000538 |
| Entity Name | Saint Alphonsus Medical Center Baker City Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick R Starr, CRNA Po Box 2936, Idaho Falls, ID 83403-2936 Ph: (208) 552-8773 | Mr Frederick R Starr, CRNA 351 Sw 9th St, Ontario, OR 97914 Ph: (541) 881-7140 |
Mr. Aaron R Gopp, CRNA Nurse Anesthetist - CR Medicare: Accepting 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 |