| Mr Ryan Winder Nordgren, CRNA | |
|
2200 W 21st St, Clovis, NM 88101-2011 | |
| (801) 633-4702 | |
| Not Available |
| Full Name | Mr Ryan Winder Nordgren |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 2200 W 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710224167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN619284 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roosevelt General Hospital | Portales, NM | Hospital |
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sleepy Plains Anesthesia Llc | 4284960352 | 8 |
| Entity Name | Anesthesia Associates Of New Mexico P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455 |
| Entity Name | Sleepy Plains Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265090344 PECOS PAC ID: 4284960352 Enrollment ID: O20190726001196 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Winder Nordgren, CRNA 1017 Chase Mdws, Clovis, NM 88101-2930 Ph: (801) 633-4702 | Mr Ryan Winder Nordgren, CRNA 2200 W 21st St, Clovis, NM 88101-2011 Ph: (801) 633-4702 |
Mr. Ronald R Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101 Phone: 573-686-5550 Fax: 573-686-2139 | |
Wesly Barton, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2217 Dillon Rd, Clovis, NM 88101 Phone: 575-769-2141 | |
Jared Earl Dumas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101 Phone: 575-769-2141 | |
Kenneth Paul Yeager, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101 Phone: 573-686-5550 Fax: 573-686-2139 | |
Joshua J Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 N Martin Luther King Blvd, Clovis, NM 88101 Phone: 575-769-7147 | |
Rulon B Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 N Martin Luther King Jr Blvd, Clovis, NM 88101 Phone: 575-769-7152 | |
Ndeye Ndour, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 Phone: 575-769-2141 |