AVERA ST ANTHONYS HOSPITAL (NPI# 1043223654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043223654 |
| Entity Type | Organization |
| Organization Name | AVERA ST ANTHONYS HOSPITAL |
| Practice Address |
300 N 2nd St Oneill NE 68763-1514 |
| Mailing Address |
Po Box 270 Oneill NE 68763-0270 |
| Practice Telephone | 4023362611 |
| Mailing Telephone | 4023365154 |
| Mailing Fax Number | 4023365137 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | MR. TODD E. CONSBRUCK (CEO) |
| Authorized Official Telephone | 4023362611 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA ST ANTHONYS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC NE CRNA GROUP NUMBER | D08551 | 01 |
| NE | BC PHSYCIAN'S NUMBER | D03485 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1750394409 | Avera St Anthonys Hospital | Clinic/Center | 300 North 2nd St, Oneill, NE 68763-1514 | 2006-08-14 |
| 1467728436 | Avera St Anthonys Hospital | Clinic/Center | 110 Park Ave, Chambers, NE 68725-3858 | 2012-03-23 |
| 1184990152 | Avera St Anthonys Hospital | Clinic/Center | 103 N 5th St, Page, NE 68766-5018 | 2012-03-23 |
| 1861787194 | Avera St Anthonys Hospital | Family Medicine | 300 N 2nd St, Suite 100, Oneill, NE 68763-1519 | 2011-06-15 |
| 1598878472 | Avera St Anthonys Hospital | General Acute Care Hospital | 300 North 2nd St, Oneill, NE 68763-1514 | 2006-08-16 |
| 1891738936 | Avera St Anthonys Hospital | General Acute Care Hospital | 300 N 2nd St, O'neill, NE 68763-1514 | 2006-06-14 |
| Street Address |
300 N 2ND ST |
| City | ONEILL |
| State | NE |
| Zip Code | 68763-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878826 | Gary D Cuddy | Physician Assistant | 300 N 2nd St, Oneill, NE 68763-1519 | 2005-06-01 |
| 1710539820 | Anna Elizabeth Novak | Registered Nurse | 300 N 2nd St, Oneill, NE 68763-1514 | 2019-07-10 |
| 1679013759 | Amy Scott | Occupational Therapist | 300 N 2nd St, Oneill, NE 68763-1514 | 2017-03-08 |
| 1902209414 | Sara K. Frederick | Physician Assistant | 300 N 2nd St, Suite 100, Oneill, NE 68763 | 2014-09-29 |
| 1881096998 | Emily Christine Nolan | Registered Nurse | 300 N 2nd St, Oneill, NE 68763-1514 | 2014-09-19 |
| 1649601287 | Theresa A Petersen | Nurse Practitioner | 300 N 2nd St, Ste 100, Oneill, NE 68763-1519 | 2013-12-09 |
| 1780023887 | Hannah M. Jessen | Physician Assistant | 300 N 2nd St, Suite 100, Oneill, NE 68763-1519 | 2013-06-21 |
| 1699118224 | Michael Ryan Zimmerman | Podiatrist | 300 N 2nd St, Oneill, NE 68763-1514 | 2013-04-13 |
| 1255675096 | Gloria Ezihe Akainda | Nurse Practitioner | 300 N 2nd St, Oneill, NE 68763-1514 | 2012-11-17 |
| 1952663072 | Terra J. Drueke | Nurse Practitioner | 300 N 2nd St, Ste 100, Oneill, NE 68763-1519 | 2012-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215418629 | Holly C Young | Occupational Therapy Assistant | 300 N. 2nd St., O'neill, NE 68763 | 2018-08-23 |
| 1962919472 | O'neill Senior Living, LLC | Alzheimer Center (Dementia Center) | 1203 E Hynes Ave., Oneill, NE 68763 | 2018-01-05 |
| 1275999500 | Nicole Rae Kemp | Public Health or Welfare | 422 E Douglas St., O'neill, NE 68763 | 2015-12-31 |
| 1215023783 | Julie Kay Davis | Nurse Anesthetist, Certified Registered | 2nd and Adams, O'neill, NE 68763 | 2006-10-04 |
| 1043302490 | Jessica A Clark | Counselor | 300 N 2nd St Ste 100, Oneill, NE 68763 | 2006-09-29 |
| 1447739040 | Jewel Swanson | Counselor | 221 W Douglas St, Oneill, NE 68763 | 2018-08-14 |
| 1477991784 | Kacindra Jo Kopf | Nurse Practitioner | 304 E Douglas St, Oneill, NE 68763 | 2013-06-08 |
| 1497817241 | Gutshall & Kohle Eyecare LLC | Optometrist | 214 N 10th St, Oneill, NE 68763 | 2006-12-15 |
| 1447601976 | Jessen's Family Dentistry and Dental Hygiene, P.c | Dentist | 126 N 5th Street, Oneill, NE 68763-0815 | 2016-06-27 |
| 1447286117 | Valley Hope Association | Substance Abuse Rehabilitation Facility | 1421 N 10th St, O Neill, NE 68763-0918 | 2006-06-24 |
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| 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 |
|---|---|---|---|---|
| 1952492910 | Kevin M Loecker | Nurse Anesthetist, Certified Registered | 1004 N Harrison St, Oneill, NE 68763-2240 | 2006-09-27 |
| 1548360738 | Larry W Finley | Nurse Anesthetist, Certified Registered | 1409 N 9th St, Oneill, NE 68763-1161 | 2006-09-25 |
| 1205905767 | North Central Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1409 N 9th St, Oneill, NE 68763-1161 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497103568 | Ryan William Stagemeyer | Nurse Anesthetist, Certified Registered | 136 E Fairview St, Albion, NE 68620-1630 | 2016-05-31 |
| 1699123976 | Walross Jim Basit | Nurse Anesthetist, Certified Registered | 4544 Bancroft Ave Apt 4, Lincoln, NE 68506-4272 | 2016-05-27 |
| 1053768945 | Clark Jackson | Nurse Anesthetist, Certified Registered | 2500 S 60th St Apt 21, Lincoln, NE 68506-3579 | 2016-05-20 |
| 1750736211 | Ruben Chavez | Nurse Anesthetist, Certified Registered | 420 W 5th St Ste 101, Hastings, NE 68901-7551 | 2016-05-03 |
| 1427443159 | Jessica Thurlow | Nurse Anesthetist, Certified Registered | 11154 County Road 19, Blair, NE 68008-3626 | 2015-03-31 |
| 1972997062 | Kellyn Nieland | Nurse Anesthetist, Certified Registered | 5913 N 166th Ct, Omaha, NE 68116-3715 | 2015-03-26 |
| 1548678162 | Matthew Skaggs | Nurse Anesthetist, Certified Registered | 79711 467th Ave, Arcadia, NE 68815 | 2014-07-28 |
| 1376961706 | Jennifer Kjolhede | Nurse Anesthetist, Certified Registered | 15435 Douglas Cir, Omaha, NE 68154-2051 | 2014-04-02 |
| 1093051989 | Carl C Blackwood | Nurse Anesthetist, Certified Registered | 5701 Lillibridge St Apt 10, Lincoln, NE 68506-3543 | 2012-12-20 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
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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.