P Praxis·MD
● Active Type 2 · Organization

Innovative Anesthesia

Nurse Anesthetist, Certified Registered·Ponderay, ID· NPI 1902036734 · Enumerated 2009 · 16 years on NPI
Innovative Anesthesia is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
NPI age
16 years
Enumerated 2009-07-14
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Demko
Partner
Last NPPES update
2009-07-14
Source: monthly bulk 2026-05

How this organization compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
30544 Highway 200 Ste 201, Pend Oreille Surgery Center
Ponderay, ID 838525005
📞 2082658194
Mailing address
Po Box 591
Sagle, ID 838600591

Authorized official

Bruce Demko
Partner
📞 2082653534

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #RNA-491A taxonomy 367500000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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