MR. STEPHEN DOUGLAS WEATHERBY (NPI# 1073677258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073677258 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN DOUGLAS WEATHERBY |
| Credential | CRNA |
| Practice Address |
391 Broad St Meriden CT 06450-5844 |
| Mailing Address |
9 Birch Mill Trl Essex CT 06426-1204 |
| Practice Telephone | 2036340523 |
| Mailing Telephone | 9607677974 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 000769 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
391 BROAD ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548353832 | Positive Alternatives for Children & Teens, Inc | Social Worker | 391 Broad St, 2nd Floor, Meriden, CT 06450-5844 | 2006-10-01 |
| 1740571439 | Steven Kahn Md PC | Psychiatry & Neurology | 391 Broad St, Meriden, CT 06450-5844 | 2011-04-28 |
| 1043396492 | Thomas Alfred Thurber | Counselor | 391 Broad St, Meriden, CT 06450-5844 | 2006-10-28 |
| 1588747182 | Steven Kahn | Psychiatry & Neurology | 391 Broad St, Meriden, CT 06450 | 2006-10-24 |
| 1427148683 | Peter James Kelly | Registered Nurse | 391 Broad St, Meriden, CT 06450-5844 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1891059812 | Brent Jeffrey Schroeder | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2012-06-25 |
| 1679834360 | Bethani Lynn Decroo | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2012-05-30 |
| 1376735407 | Julie Christine Ali | Nurse Anesthetist, Certified Registered | 455 Lewis Ave, Meriden, CT 06451-2101 | 2007-08-13 |
| 1467531012 | Richard Vincent Ruey | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451 | 2006-11-03 |
| 1225111503 | Curtis Foster Holroyd | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-23 |
| 1689755761 | William Joseph Sheetz | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-17 |
| 1851472153 | Teresa Sheetz | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-17 |
| 1295823730 | John Stephen Hayes | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-10 |
| 1154418143 | David Anthony Moskal | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-09 |
| 1669565073 | Robert W. Hastings | Nurse Anesthetist, Certified Registered | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-09-30 |
| Find all providers in MERIDEN | ||||
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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.