| Russell Jon Watson, CRNA | |
|
351 Sw 9th St, Ontario, OR 97914-2639 | |
| (541) 881-7000 | |
| Not Available |
| Full Name | Russell Jon Watson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 351 Sw 9th St, Ontario, Oregon |
| 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 |
|---|---|---|---|
| 1346562113 | NPI | - | NPPES |
| 1346562113 | Medicaid | OR | |
| 1346562113 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201160057CRNA (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-912A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Treasure Valley Anesthesia Pc | 2365414497 | 5 |
| Treasure Valley Anesthesia Pc | 2365414497 | 5 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Jon Watson, CRNA Po Box 2936, Idaho Falls, ID 83403-2936 Ph: (208) 552-8773 | Russell Jon Watson, CRNA 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (541) 881-7000 |
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. Aaron R Gopp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled 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 | |
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 |