Max H Shurtliff is a Certified Registered Nurse Anesthetist practicing in West Jordan, Utah. The National Provider Identifier (NPI) is #1851484489, which was assigned on October 2, 2006, and the registration record was last updated on July 8, 2007. The practitioner's main practice location is at 3580 W 9000 S, West Jordan, UT 84070; the contact telephone number is 8019939527, and the fax number is 8017335872. The primary taxonomy of Max H Shurtliff is Certified Registered Nurse Anesthetist (367500000X). Max H Shurtliff is licensed to practice in the state of Utah (#212191-4406).
(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.
| NPI | 1851484489 |
| Entity Type | Individual |
| Provider Name | MAX H SHURTLIFF |
| Gender | Male |
| Credential | CRNA |
| Practice Address |
3580 W 9000 S West Jordan UT 84070 |
| Practice Telephone | 8019939527 |
| Practice Fax Number | 8017335872 |
| Mailing Address |
3618 W 6000 S Roy UT 84067 |
| Mailing Telephone | 8019939527 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Is Sole Proprietor | N |
| PAC ID |
0648222513 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MAX H SHURTLIFF |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Organization Legal Name | INTERMOUNTAIN ANESTHESIA CONSULTANTS LLC |
| Address |
3580 W 9000 West Jordan UT 84088-8812 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 212191-4406 | UT |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 102600 | UT | GEM | Other |
| 293654 | UT | DMBA | Other |
| 39005 | UT | PEHP | Other |
| 870542403 84121 A003 | UT | TRICARE | Other |
| PR00993 | UT | MOLINA | Other |
| QMXAF01875 | UT | ALTIUS | Other |
| 107001189102 | UT | IHC | Other |
| 870542403SH1 | UT | EDUCATORS MUTUAL | Other |
| Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| Classification | Nurse Anesthetist, Certified Registered |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
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|---|---|---|---|
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| Hunter Burton Fletcher | 2310 N Patterson St, Valdosta, GA 31602-2568 | Certified Registered Nurse Anesthetist | 2025-02-28 |
| Anastasia Lusnia | 701 6th St S, St Petersburg, FL 33701-4814 | Certified Registered Nurse Anesthetist | 2025-03-01 |
| Rachel Diane Medford | 1395 S Pinellas Ave, Tarpon Springs, FL 34689-3790 | Certified Registered Nurse Anesthetist | 2025-03-03 |
| Camiah Bandele | 6225 N State Highway Ste 200, Irving, TX 75038-2241 | Certified Registered Nurse Anesthetist | 2025-03-03 |
| Tavia Michele Farmer | 3000 N Triumph Blvd, Lehi, UT 84043-7186 | Certified Registered Nurse Anesthetist | 2025-03-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
3618 W 6000 S |
| City | ROY |
| State | UT |
| Zip Code | 84067 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Paul D Hopkins Dds PC | 4902 S 1900 W Suite 2, Roy, UT 84067 | Dentist | 2006-09-26 |
| Kelson Physijcian Partners of Layton, Inc | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | Pediatrics Physician | 2012-01-04 |
| Vicki L Berger · Vicki L Bringhurst | 5991 S 3500 W, Roy, UT 84067 | Medical Physician Assistant | 2005-12-14 |
| Braden Favero | 2563 W 5800 S, Roy, UT 84067-1334 | Behavior Technician | 2017-05-11 |
| Jared Romero | 3671 W 6050 S, Roy, UT 84067-1027 | Athletic Trainer | 2014-07-09 |
| Rocky Mountain Child and Adolescent Psychiatry | 6041 S 3650 W, Roy, UT 84067-1066 | Psychiatric/Mental Health Nurse Practitioner | 2025-03-04 |
| Kelson Physician Partners of Layton, Inc. | 5991 South 3500 West, Suite 100, Roy, UT 84067 | Pediatrics Physician | 2007-05-23 |
| Midland Dental | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | General Practice Dentistry | 2010-12-03 |
| Standard Optical Co | 5421 S 19th W, Roy, UT 84067 | Optometrist | 2006-10-06 |
| Brandon M Hepner | 5991 S 3500 W, Suite 300, Roy, UT 84067 | Physical Therapist | 2005-11-14 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tiffany Shurtliff | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | Behavior Technician | 2021-11-09 |
| Tavin Shurtliff | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | Behavior Technician | 2020-11-16 |
| Clayton Shurtliff | 7010 Champions Plaza Dr, Suite 400, Houston, TX 77069-2396 | Certified Registered Nurse Anesthetist | 2016-01-07 |
| Amy Shurtliff | 1564 Long Pond Rd, Rochester, NY 14626-4119 | Physical Therapist | 2021-03-25 |
| Bonnie Jean Sims · Bonnie Jean Shurtliff | 3725 W 4100 S, West Valley City, UT 84120-5530 | Physician Assistant | 2008-10-06 |
| Adam Gary Shurtliff | 9304 Snow Rd, Parma, OH 44130-2125 | Student in an Organized Health Care Education/Training Program | 2023-05-25 |
| Kevan Lewis Shurtliff | 7197 Brockton Ave, Suite 3, Riverside, CA 92506-2637 | Audiologist | 2007-01-24 |
| Vint Shurtliff | 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 | Counselor | 2019-12-03 |
| Ryan Shurtliff Farrer | 1108 Basich Blvd, Aberdeen, Aberdeen, WA 98520-1066 | Diagnostic Radiology Physician | 2006-06-26 |
| Vance Shurtliff | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | Physical Therapist | 2015-08-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |