TIMOTHY VANDERWEIDE (NPI# 1023482072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023482072 |
| Entity Type | Individual |
| Full Name | TIMOTHY VANDERWEIDE |
| Credential | CRNA |
| Practice Address |
201 Albert Ave Scott City KS 67871 |
| Practice Telephone | 6208725811 |
| Practice Fax Number | 6208723660 |
| Mailing Telephone | 6208725811 |
| Mailing Fax Number | 6208723660 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2017-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 13-112281-051 | KS | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 557379 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 ALBERT AVE |
| City | SCOTT CITY |
| State | KS |
| Zip Code | 67871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881654309 | Melissa B Batterton | Nurse Practitioner | 201 Albert Ave, Scott City, KS 67871 | 2006-03-27 |
| 1205453297 | Jaclynn Ward | Speech-Language Pathologist | 201 Albert Ave, Scott City, KS 67871-6117 | 2020-06-25 |
| 1740814243 | Darice Colglazier | Dietitian, Registered | 201 Albert Ave, Scott City, KS 67871-6117 | 2020-02-24 |
| 1003474230 | Clay Andrew Mulligan | Physical Therapist | 201 Albert Ave, Scott City, KS 67871-6117 | 2019-06-03 |
| 1790287019 | Sara Jean Hawkins | Occupational Therapist | 201 Albert Ave, Scott City, KS 67871-6117 | 2018-03-02 |
| 1609313972 | Hannah Marie Scheetz | Speech-Language Pathologist | 201 Albert Ave, Scott City, KS 67871-6117 | 2017-01-25 |
| 1356701726 | Anna Thea Noel Beckman | Nurse Practitioner | 201 Albert Ave, Scott City, KS 67871-6117 | 2016-02-29 |
| 1902200355 | Caley Roberts | Physician Assistant | 201 Albert Ave, Scott City, KS 67871 | 2014-10-14 |
| 1013321728 | Whitney Wallace Nichols | Family Medicine | 201 Albert Ave, Scott City, KS 67871 | 2014-06-20 |
| 1275960056 | Central Care, Pa | Specialist | 201 Albert Ave, Scott City, KS 67871-6117 | 2013-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444208 | Ron L Meredith | Psychologist | Scott City Clinic, 201 Albert Ave, Scott City, KS 67871 | 2007-03-14 |
| 1639277833 | Scott City Pharmacy | Pharmacist | 102 Albert Avenue, Scott City, KS 67871 | 2006-09-20 |
| 1801823687 | Scott County Hospital Dme | Durable Medical Equipment & Medical Supplies | 310 E 3rd St, Scott City, KS 67871 | 2006-06-27 |
| 1013104900 | Tracey Ann Stark | Nurse Practitioner | 204 S College St, Scott City, KS 67871 | 2007-09-25 |
| 1235190026 | Jeffrey Arden Heyd | Optometrist | 106 W 4th St, Scott City, KS 67871-1108 | 2006-03-31 |
| 1962659326 | City On A Hill Inc | Substance Abuse Rehabilitation Facility | 211 S Main St, Scott City, KS 67871-1130 | 2008-08-27 |
| 1730300666 | Charles J. Purma II | Dentist | 324 N Main St, Scott City, KS 67871-1180 | 2007-05-01 |
| 1548446941 | Heidi A Stevens | Dietitian, Registered | 310 E 3rd St, Scott City, KS 67871-1203 | 2008-01-15 |
| 1255308177 | Joshua J Gooden | Optometrist | 104 Albert Ave., Scott City, KS 67871-1216 | 2006-03-01 |
| 1093826968 | Joshua J. Gooden, Optometrist, P.a. | Optometrist | 104 Albert Ave., Scott City, KS 67871-1216 | 2006-08-31 |
| Find all providers in zip 67871 | ||||
| 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 |
|---|---|---|---|---|
| 1760816912 | Michael Lee Goode | Nurse Anesthetist, Certified Registered | 201 Albert Ave, Scott City, KS 67871 | 2013-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914277 | Steel Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 411 N Campus Dr, Garden City, KS 67846-6195 | 2020-08-26 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1821509753 | Kolton Levi Tanner Alexander | Nurse Anesthetist, Certified Registered | Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 | 2017-10-18 |
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1386183481 | Melissa Albers | Nurse Anesthetist, Certified Registered | 412 N Mulberry Ct, Gardner, KS 66030-1723 | 2017-02-22 |
| 1700334067 | Superior Anesthesia | Nurse Anesthetist, Certified Registered | 2913 Yaeger Dr, Winfield, KS 67156-8533 | 2016-09-15 |
| 1518316744 | Bree Howard | Nurse Anesthetist, Certified Registered | 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT CITY |
| Zip Code | 67871 |
Please comment or provide details below to improve the information on TIMOTHY VANDERWEIDE.
| 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.