| Ryan C Golob, CRNA | |
|
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
| (208) 666-2000 | |
| Not Available |
| Full Name | Ryan C Golob |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073795985 | NPI | - | NPPES |
| 160305 | Other | CO | COLORADO LICENSE |
| RNA-866A | Other | ID | IDAHO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 160305 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-866A (Idaho) | Primary |
| Entity Name | Anesthesia Associates Of Coeur D Alene Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475 |
| Entity Name | Inland Northwest Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467797449 PECOS PAC ID: 0648415547 Enrollment ID: O20130325000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan C Golob, CRNA 2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814-2662 Ph: (208) 765-8585 | Ryan C Golob, CRNA 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 666-2000 |
Joshua Leppert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Ms. Nuria M Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Kevin M Knopp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Richard J Gerhard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1705 N Government Way, Coeur D Alene, ID 83814 Phone: 208-765-8585 Fax: 208-765-8486 | |
Joanna M Minetti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W Ironwood Dr Ste 250, Coeur D Alene, ID 83814 Phone: 208-765-8585 | |
Trent Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3696 E Sky Harbor Dr, Coeur D Alene, ID 83814 Phone: 208-818-5273 |