Innovative Anesthesia
NPI 1902036734 · Certified Registered Nurse Anesthetist · Ponderay, ID
Innovative Anesthesia is a Certified Registered Nurse Anesthetist organization in Ponderay, ID (NPI 1902036734).
Provider details
- NPI number
- 1902036734
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bruce Demko, Partner(208) 265-3534
- License
- RNA-491A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2009-07-14
Frequently asked questions
- What is Innovative Anesthesia's NPI number?
- Innovative Anesthesia's National Provider Identifier (NPI) is 1902036734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Anesthesia?
- Innovative Anesthesia is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Innovative Anesthesia located?
- Innovative Anesthesia's practice location on file with NPPES is 30544 Highway 200 Ste 201, Ponderay, ID 83852-5005.
- What is Innovative Anesthesia's phone number?
- The practice phone number listed in the NPPES registry for Innovative Anesthesia is (208) 265-8194.
- Who is the authorized official for Innovative Anesthesia?
- The authorized official listed on Innovative Anesthesia's NPPES record is Bruce Demko, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Anesthesia's NPI active?
- Yes — Innovative Anesthesia's NPI (1902036734) is active in the NPPES registry as of the last update on 2009-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.