SOUTHEAST MOBILE ANESTHESIA LLC (NPI# 1033433503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033433503 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MOBILE ANESTHESIA LLC |
| Practice Address |
1727 Coachtrail Dr Hebron KY 41048-8476 |
| Practice Telephone | 8594092022 |
| Practice Fax Number | 5133329225 |
| Mailing Telephone | 8594092022 |
| Mailing Fax Number | 5133329225 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | DR. MARK JACKSON (PRESIDENT) |
| Authorized Official Telephone | 8594092022 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 40009 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100042320 | 05 | |
| ANTHEM | 000000566553 | 01 | |
| IN | 200902520 | 05 | |
| OH | 28720930 | 05 |
| Street Address |
1727 COACHTRAIL DR |
| City | HEBRON |
| State | KY |
| Zip Code | 41048-8476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558574756 | Rodney Christopher Stigall | Dentist | 2300 Conner Rd, Hebron, KY 41048 | 2007-05-07 |
| 1518062389 | Tristin R Thompson | Chiropractor | 2950 Hebron Park Drive, Suite E, Hebron, KY 41048 | 2006-09-14 |
| 1306897822 | Kenton County Airport Board | Ambulance | 81 Clay Drive, Hebron, KY 41048 | 2006-05-12 |
| 1467416628 | John Joseph Castaneda | Family Medicine | 2093 Medical Arts Drive, Hebron, KY 41048 | 2006-04-14 |
| 1659332526 | Gina Battaglia Grove | Family Medicine | 2093 Medical Arts Dr, 1st Floor, Hebron, KY 41048 | 2006-03-30 |
| 1902803901 | Kathy Jo Noyes | Nurse Practitioner | 1503 Jolee Drive, Hebron, KY 41048 | 2005-07-05 |
| 1447795299 | Community First Health, LLC. | Clinic/Center | 2091 N Bend Rd, Unit 100, Hebron, KY 41048 | 2017-01-04 |
| 1700261088 | Paul Eric Haskell | Massage Therapist | 2030 Northside Dr, Hebron Chiropractic - #unit C, Hebron, KY 41048 | 2015-07-28 |
| 1003099227 | Tri-state Oral and Maxillofacial Surgery LLC | Clinic/Center | 2300 Conner Rd, Hebron, KY 41048 | 2007-12-11 |
| 1053370791 | Michael Kevin Dragan | Family Medicine | 1980 Litton Ln, Hebron, KY 41048 | 2006-03-21 |
| Find all providers in zip 41048 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639659758 | Ohio Valley Pain Institute Pllc | Anesthesiology | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1417 | 2018-08-17 |
| 1346738606 | Ohio Valley Anesthesia Service, Inc | Anesthesiology | 7000 Houston Rd Ste 19, Florence, KY 41042-4882 | 2018-04-23 |
| 1982105250 | Peter William Creech | Anesthesiology | 1734 Fleming Rd, Louisville, KY 40205-2418 | 2018-02-22 |
| 1255846770 | Dental Surgicenter of Louisville Inc | Anesthesiology | 2800 Cannons Ln Ste 100, Louisville, KY 40205-2164 | 2017-12-06 |
| 1376056465 | Dr Kavita Mehta, Psc | Anesthesiology | 4041 Whiteblossom Estates Ct, Louisville, KY 40241-6110 | 2017-11-10 |
| 1861923708 | Aric James Johnson | Anesthesiology | University of Kentucky Chandler Hospital, 800 Rose Street, Lexington, KY 40536 | 2017-03-22 |
| 1235675125 | Crc Health Treatment Clinics, LLC | Anesthesiology | 213 Midland Blvd., Shelbyville, KY 40065-7791 | 2017-01-16 |
| 1033571286 | Riley Joseph Woolford | Anesthesiology | 800 Rose Street, N202, Lexington, KY 40536-7001 | 2016-03-27 |
| 1821450412 | Brian Aram Abiri | Anesthesiology | University of Kenucky 800 Rose St, Lexington, KY 40536-7001 | 2016-03-23 |
| 1205213568 | Mitchell Allen Gist | Anesthesiology | Uk Chandler Hospital Or, 800 Rose St, Lexington, KY 40536-0293 | 2015-05-06 |
| Find all providers with the same taxonomy | ||||
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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.