Theodore W Bogsrud is a Spokane Valley, Washington based nurse anesthetist with 39 years of experience as Anesthesia Administration. He completed he graduation in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Theodore W Bogsrud is AP30004818 for Anesthesia Administration in Washington. his current practice location is 16818 E Desmet Ct, Spokane Valley. Patients can reach him at 509-456-5380 or can fax him at 509-456-5381. Theodore W Bogsrud is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1215968961. Theodore W Bogsrud 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:
Theodore W Bogsrud 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:
39+ years
Medical School Attended:
Other
Graduation Year:
1986
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
16818 E Desmet Ct, Spokane Valley, Washington, 99216-3542
Phone:
509-456-5380
Fax:
509-456-5381
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:
6103814538
Enrollment ID:
I20040504001480
NPI Number:
1215968961
NPI Enumeration Date:
05 Jul, 2006
NPI Last Update On:
18 Nov, 2020
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore W Bogsrud are as mentioned below.
License Number
Specialization
State
Status
AP30004818
Anesthesia Administration
Washington
Primary
28189
Anesthesia Administration
Idaho
Secondary
NUR-RN-LIC-101109
Anesthesia Administration
Montana
Secondary
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 Theodore W Bogsrud has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pacific Cataract And Laser Institute Inc Pc (7517864119)
64
Pacific Cataract And Laser Institute Inc Pc (7517864119)
64
Pacific Cataract And Laser Institute Inc Pc (7517864119)
64
Other Medical Identifiers:
Other legacy medical identifiers associated with Theodore W Bogsrud such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
430044217
Other
Washington
RAILROAD MEDICARE
9630542
Medicaid
Washington
430061770
Other
Washington
RAILROAD MEDICARE
P00335315
Other
Montana
RAILROAD MEDICARE
430048398
Other
Washington
RAILROAD MEDICARE
M011002649
Other
Montana
MEDICARE MT
1204355
Other
Idaho
MEDICARE ID
430062516
Other
Idaho
RAILROAD MEDICARE
NM302933
Other
New Mexico
MEDICARE NM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2517 Ne Kresky Ave, Chehalis, Washington
Zip:
98532-2409
Phone Number:
360-242-3008
Fax Number:
360-807-7687
Patients can reach Theodore W Bogsrud at 16818 E Desmet Ct, Spokane Valley, Washington or can call to book an appointment on 509-456-5380.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.