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

Intermountain Anesthesia, PA

Organization Anesthesiology Physician · NPI 1558304329

Intermountain Anesthesia, PA is an Anesthesiology Physician in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1558304329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Taylor — Crna · (866) 487-0277
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 23, 2019
Mailing addressPo Box 94289, Ms 631130, Seattle, WA 98124-6589

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