OrganizationActive
Wasatch Anesthesia LLC
NPI 1992516579 · Certified Registered Nurse Anesthetist · Providence, UT
Provider details
- NPI number
- 1992516579
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gregory Thomas, Crna/ Owner(435) 753-1600
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
65 N Gateway Dr Ste 3
Providence, UT 84332-6102
Phone: (435) 535-3257
Approximate (ZIP-level) locationGet directions
Mailing address
560 W 465 N Ste 604
Providence, UT 84332-8006
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.