Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Anesthesia

Organization Certified Registered Nurse Anesthetist · NPI 1902036734

Innovative Anesthesia is a Certified Registered Nurse Anesthetist in Ponderay, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009

Practice location Address checks out

30544 Highway 200 Ste 201 Pend Oreille Surgery Center
Ponderay, ID 83852-5005
Phone: (208) 265-8194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA-491A (ID)

Record details

NPI number1902036734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Demko — Partner · (208) 265-3534
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009
Mailing addressPo Box 591, Sagle, ID 83860-0591

Other providers in Ponderay