Hey, Find It
Hey, Find It

JEFFERY W EDSTROM , NPI 1164427274

Nurse Anesthetist in BUFFALO, WY

Last Updated on : Jun 03,2014

JEFFERY W EDSTROM , NPI 1164427274

About JEFFERY W EDSTROM (NPI 1164427274)


JEFFERY W EDSTROM is a Nurse Anesthetist provider in BUFFALO, United States. His medical specialization is Nurse Anesthetist with a focus in Certified Registered.

1164427274 is NPI number of JEFFERY W EDSTROM.

JEFFERY W EDSTROM's primary taxonomy code based on NPI Lookup is 367500000X with license number 129337. This taxonomy code refers to Nurse Anesthetist.

JEFFERY W EDSTROM has more than 18 years of experience.

JEFFERY W EDSTROM current practice location address is 553 N PINNACLE DR, BUFFALO, WY. JEFFERY W EDSTROM can be reached out via phone at 307-684-7817 .

You can also correspond with JEFFERY W EDSTROM through mail at mailing address 497 W LOTT ST, BUFFALO, WY, United States. Mailing address contact number is 307-684-5521.

The enumeration date of JEFFERY W EDSTROM is 15-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 10 years ago.

1164427274 NPI Information

Basic NPI information of JEFFERY W EDSTROM (NPI 1164427274) is provided below.

Name JEFFERY W EDSTROM
National Provider Id (NPI) 1164427274
Entity Type Individual
Gender M
Credential
Practice Address 553 N PINNACLE DR,
BUFFALO, WY, United States
Practice Telephone 307-684-7817
Practice Fax Number
Mailing Address 497 W LOTT ST ,
BUFFALO, WY, United States
Mailing Telephone 307-684-5521
Mailing Fax Number 307-684-5385
Enumeration Date 15-Jun-2005
Last Updated Date 03-Jun-2014

JEFFERY W EDSTROM (NPI 1164427274) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 367500000X Nurse Anesthetist, Certified Registered 129337 WI

(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 management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
43403300 MEDICAID (05) WI

JEFFERY W EDSTROM (NPI 1164427274) Office Location

Office location of JEFFERY W EDSTROM is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1093101743 1 BETHESDA DRIVE OPERATING COMPANY, LLC Skilled Nursing Facility 1 BETHESDA DR,
HORNELL, NY, United States
09-Apr-2015
1093057143 100 WAMPANOAG TRAIL OPERATING COMPANY, LLC Skilled Nursing Facility 100 WAMPANOAG TRL,
RIVERSIDE, RI, United States
26-Mar-2013
1871035485 1019 WICKER STREET OPERATING COMPANY, LLC Skilled Nursing Facility 1019 WICKER ST,
TICONDEROGA, NY, United States
14-Nov-2016
1740903558 1028 HOPE ENTERPRISES Non-emergency Medical Transport (VAN) 197 HUGHES AVE,
BUFFALO, NY, United States
26-Sep-2022
1902339054 104 OLD NIAGARA ROAD OPERATING COMPANY, LLC Skilled Nursing Facility 104 OLD NIAGARA RD,
LOCKPORT, NY, United States
05-Apr-2017
1205345501 112 SKI BOWL ROAD OPERATING COMPANY, LLC Skilled Nursing Facility 112 SKI BOWL RD,
NORTH CREEK, NY, United States
29-Sep-2017
1225656739 15 WESNER LANE PECC OPERATING COMPANY, LP Clinic/Center, Medically Fragile Infants and Children Day Care 500 SENECA ST STE 100,
BUFFALO, NY, United States
10-Jul-2020
1245784271 170 WEST AVENUE OPERATING COMPANY, LLC Skilled Nursing Facility 170 WEST AVE,
BROCKPORT, NY, United States
08-Aug-2016
1053684720 1818 COMO PARK BOULEVARD OPERATING COMPANY LLC Skilled Nursing Facility 1818 COMO PARK BLVD,
LANCASTER, NY, United States
10-Feb-2012
1003295411 185 OLD MILITARY ROAD OPERATING COMPANY, LLC Skilled Nursing Facility 185 OLD MILITARY RD,
LAKE PLACID, NY, United States
19-May-2015
1174700793 20 20 OPTICAL OF BFLO INC Optometrist 324 WEST FERRY STREET,
BUFFALO, NY, United States
25-Jan-2008
1467725168 200 BASSETT ROAD OPERATING COMPANY LLC Skilled Nursing Facility 200 BASSETT RD,
WILLIAMSVILLE, NY, United States
12-Feb-2012
1306119078 225 BENNETT ROAD OPERATING COMPANY LLC Skilled Nursing Facility 225 BENNETT RD,
CHEEKTOWAGA, NY, United States
10-Feb-2012
1891068532 2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC Skilled Nursing Facility 500 SENECA ST STE 100,
BUFFALO, NY, United States
10-Feb-2012
1013280759 2850 GRAND ISLAND BOULEVARD OPERATING COMPANY LLC Skilled Nursing Facility 500 SENECA ST STE 100,
BUFFALO, NY, United States
10-Feb-2012
1891068565 37 NORTH CHEMUNG STREET OPERATING COMPANY LLC Skilled Nursing Facility 37 N CHEMUNG ST,
WAVERLY, NY, United States
10-Feb-2012
1700242609 37 NORTH CHEMUNG STREET OPERATING COMPANY, LLC Clinic/Center, Adult Day Care 37 N CHEMUNG ST,
WAVERLY, NY, United States
07-Jan-2016
1467725101 4459 BAILEY AVENUE OPERATING COMPANY LLC Skilled Nursing Facility 4459 BAILEY AVE,
AMHERST, NY, United States
10-Feb-2012
1285907980 4800 BEAR ROAD OPERATING COMPANY LLC Skilled Nursing Facility 4800 BEAR RD,
LIVERPOOL, NY, United States
12-Feb-2012
1316370091 4800 BEAR ROAD OPERATING COMPANY, LLC Pharmacy, Long Term Care Pharmacy 4800 BEAR RD,
LIVERPOOL, NY, United States
16-Aug-2013

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1164427274?

1164427274 is the NPI number of JEFFERY W EDSTROM.

What is the specialty for JEFFERY W EDSTROM?

The Specialty of JEFFERY W EDSTROM is Nurse Anesthetist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Source : The information found on this website is provided "AS IS". It is in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Kindly note that we do not guarantee the accuracy and/or reliability of the contents found on the website.