Dirk Bradley Bahoravitch, MSN, CRNA
Dirk Bradley Bahoravitch, MSN, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Provo, Utah. Qualified in 2016, 10 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 10
- Licensed in
- ID
- In the registry since
- 2016
What do these letters mean?
Practice location Address checks out
1067 N 500 WProvo, UT 84604-3305
Phone: (801) 374-0354
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 53485 (ID) |
|---|
Record details
| NPI number | 1184083826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSN , CRNA |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2016 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Main Street Anesthesia Of New Mexico, Llc — 228 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Practises at
- Lovelace Medical Center Hospital · Albuquerque, NM · listed as Veronica Torres Garcia
Colleagues at Main Street Anesthesia of New Mexico, LLC
- Mr. Adolphus Owino Adera, CRNA Certified Registered Nurse Anesthetist · McAllen, TX
- Jeremy Shane Bison, CRNA Certified Registered Nurse Anesthetist · Carlsbad, NM
- Timothy Mark Candelaria, CRNA Certified Registered Nurse Anesthetist · Santa Fe, NM
- Dr. Paul Alexander Castillo, MD Anesthesiology Physician · Albuquerque, NM
- John Robert Collins, CRNA Certified Registered Nurse Anesthetist · Rio Rancho, NM
- Abbe C Fannin, CRNA Certified Registered Nurse Anesthetist · El Paso, TX
- Mr. Seth Tyler Gambone, CRNA Certified Registered Nurse Anesthetist · Albuquerque, NM
- Tamara M Gleason, CRNA Certified Registered Nurse Anesthetist · Albuquerque, NM
- Lee W Harper, CRNA Anesthesiology Physician · Roswell, NM
- Margaret Doyle Schluter, CRNA Registered Nurse · Albuquerque, NM
- Caitlin Vandermeel, CRNA Certified Registered Nurse Anesthetist · Fresno, CA
- Dr. Sanjiv Vig, MD Anesthesiology Physician · Albuquerque, NM
Other providers in Provo
-
Sarah Ward Barnaby, CRNA
1034 N 500 W, Provo, UT 84604-3380 · (801) 727-2056
-
Chase Bazil, CRNA
1900 N State St Ste 105, Provo, UT 84604-1354 · (801) 655-5245
-
Shelby Lyn Beck
1067 N 500 W, Provo, UT 84604-3305 · (801) 374-0354
-
David B Farnworth, CRNA
1067 N 500 W, Provo, UT 84604-3305 · (801) 375-8049