TIMOTHY M DOUGLASS (NPI# 1023337342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337342 |
| Entity Type | Individual |
| Full Name | TIMOTHY M DOUGLASS |
| Credential | CRNA |
| Practice Address |
700 High St Williamsport PA 17701-3198 |
| Mailing Address |
1201 Grampian Blvd Suite 1k Williamsport PA 17701-1900 |
| Practice Telephone | 5703212385 |
| Practice Fax Number | 5703212479 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN537606 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1024786150001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306913884 | Timothy Deegan Douglass | Chiropractor | 4421 Commons Dr E, Suite B-105, Destin, FL 32541-3484 | 2006-11-29 |
| 1245319185 | Timothy Dean Douglass | Physical Therapist | 1400 Dowell Springs Blvd, Suite 120, Knoxville, TN 37909-2456 | 2006-11-03 |
| Street Address |
700 HIGH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
| 1013534031 | Austin Strosser | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2020-06-26 |
| 1720605728 | Kyrstin Hubbard | Pharmacist | 700 High St, Williamsport, PA 17701-3100 | 2020-06-25 |
| 1861013682 | Daniel Schuler | Student in an Organized Health Care Education/Training Program | 700 High St, Williamsport, PA 17701-3100 | 2020-05-04 |
| 1164068904 | Jeremy Tock | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-26 |
| 1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
| 1659917128 | Jo Ann Evans | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3198 | 2019-11-20 |
| 1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
| 1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1265074389 | Trevor Joseph Hiller | Registered Nurse | 700 High St, Williamsport, PA 17701-3100 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003229410 | Jayson Nathaniel Miller | Nurse Anesthetist, Certified Registered | 338 Eldred St, Williamsport, PA 17701-2305 | 2014-06-04 |
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
| 1760036040 | Jacquelyn Chestnut | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-07-25 |
| 1598232175 | Denis Sviridenkov | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2018-10-31 |
| 1417479015 | Dung Tan Vu | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2017-07-14 |
| 1518311968 | Kayla Cooper | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2016-04-21 |
| 1215343397 | Brenda Marie Hagedorn | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2014-07-09 |
| 1053748590 | David James Hoffman | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2013-09-30 |
| 1679906515 | Michele Lynn Snyder | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2013-08-14 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.