| Nickolaus A Spain, CRNA | |
|
353 Fairmont Blvd, Rapid City, SD 57701-7350 | |
| (605) 755-1000 | |
| Not Available |
| Full Name | Nickolaus A Spain |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 353 Fairmont Blvd, Rapid City, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275851933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000837 (South Dakota) | Primary |
| Entity Name | Regional West Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982718219 PECOS PAC ID: 1759285885 Enrollment ID: O20031120000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolaus A Spain, CRNA 353 Fairmont Blvd, Atten Christie Mss, Rapid City, SD 57701-7350 Ph: () - | Nickolaus A Spain, CRNA 353 Fairmont Blvd, Rapid City, SD 57701-7350 Ph: (605) 755-1000 |
Dawn Jo Zastoupil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57501 Phone: 605-755-1000 | |
Patrick Staedtler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Joseph W Amo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Jessica Anne Newman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Karen A Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-1000 | |
Mr. Peter Schwiesow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 606-721-4700 | |
Carter Allen Wevik, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 605-721-4700 |