PATRICIA KIDWELL (NPI# 1063419851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419851 |
| Entity Type | Individual |
| Full Name | PATRICIA KIDWELL |
| Credential | CRNA |
| Practice Address |
30 Medical Center Blvd Suite 305 Upland PA 19013-3955 |
| Mailing Address |
7801 Woodlawn Ave Melrose Park PA 19027-2917 |
| Practice Telephone | 6108746448 |
| Practice Fax Number | 6108767399 |
| Mailing Telephone | 2156359215 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN274743L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700865318 | Patricia J Kidwell | Occupational Therapist | 2415 Parkwood Dr, O.p. Rehabilitation, Brunswick, GA 31520-4722 | 2006-01-12 |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 305 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1568726669 | Michelle R Marcantuno | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2012-07-03 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
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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 |
|---|---|---|---|---|
| 1326024050 | Michael Phillip Wolff | Nurse Anesthetist, Certified Registered | 1042 N Mountain Ave, Box 351, Upland, CA 91786-3695 | 2005-12-15 |
| 1598237216 | Kevin Mason Harrison | Nurse Anesthetist, Certified Registered | 30 Medical Center Boulevard, Professional Office Bldg 1, Suite 305, Upland, PA 19013 | 2018-12-19 |
| 1447497599 | Jennifer Mary Ryan | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2009-01-12 |
| 1811133192 | Aric C Bunch | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2008-12-17 |
| 1891972832 | Nicole Kawa | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2008-01-22 |
| 1972629905 | Maureen Rita Callahan | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2007-03-21 |
| 1780713248 | Claire Rankin | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2007-03-02 |
| 1124018122 | Angela S Holloway | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 | 2005-10-21 |
| 1538167101 | Alexis M Styers | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 | 2005-07-08 |
| 1851398655 | Sheila Ortega | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 | 2005-07-07 |
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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.