Cassidy B Waterman is a Pocatello, Idaho based nurse anesthetist with 15 years of experience as Anesthesia Administration. He completed he graduation in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Cassidy B Waterman is RNA-781 for Anesthesia Administration in Idaho. his current practice location is 1950 E Clark St, Suite G, Pocatello. Patients can reach him at 208-232-7760 or can fax him at 208-232-1950. Cassidy B Waterman is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1750691929. Cassidy B Waterman is a certified 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.
Complete Profile:
Cassidy B Waterman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1950 E Clark St, Suite G, Pocatello, Idaho, 83201-3314
Phone:
208-232-7760
Fax:
208-232-1950
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042492670
Enrollment ID:
I20110308000139
NPI Number:
1750691929
NPI Enumeration Date:
20 Oct, 2010
NPI Last Update On:
19 Oct, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cassidy B Waterman are as mentioned below.
License Number
Specialization
State
Status
RNA-781
Anesthesia Administration
Idaho
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Portneuf Medical Center (130028)
Pocatello, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Cassidy B Waterman has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Sei Anesthesia Pllc (4183849979)
21
Other Medical Identifiers:
Other legacy medical identifiers associated with Cassidy B Waterman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CD5673
Other
Idaho
RR GROUP LEGACY NUMBER
P00956855
Other
INDIVIDUAL RR MEDICARE
1604930
Other
Idaho
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
777 Hospital Way, Pocatello, Idaho
Zip:
83201-5175
Phone Number:
208-240-0735
Fax Number:
208-232-1950
Patients can reach Cassidy B Waterman at 1950 E Clark St, Suite G, Pocatello, Idaho or can call to book an appointment on 208-232-7760.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.