| Mr Michael Stormes, CRNA | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 799-5400 | |
| Not Available |
| Full Name | Mr Michael Stormes |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215069877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-557A (Idaho) | Primary |
| 367H00000X | Anesthesiologist Assistant | RNA-557 (Idaho) | Secondary |
| Entity Name | St Joseph Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20190702000908 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Stormes, CRNA 1303 Hemlock Ave, Lewiston, ID 83501-5727 Ph: () - | Mr Michael Stormes, CRNA 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 799-5400 |
Kyle James Daly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Matthew George Krahn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Carl M Matthews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Dustin Lee Elben, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Brian Lorin Bullock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 239-896-3934 | |
Sarah Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 |