KHUSHBU MODI (NPI# 1083166383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083166383 |
| Entity Type | Individual |
| Full Name | KHUSHBU MODI |
| Practice Address |
276 Harmony Lake Dr Canton GA 30115-4781 |
| Practice Telephone | 4044885590 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN202188 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414418 | Khushbu Vijaykumar Modi | Physical Therapist | 2474 Wilson Ter, Union, NJ 07083-6543 | 2019-02-26 |
| Street Address |
276 HARMONY LAKE DR |
| City | CANTON |
| State | GA |
| Zip Code | 30115-4781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1396264040 | Brandi Hanchosky | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw # 100, Canton, OH 44718-3673 | 2017-09-13 |
| 1952841637 | Andrew Joseph Proctor | Nurse Anesthetist, Certified Registered | 800 Pheasant Woods Drive, Canton, MI 48188-5224 | 2017-03-01 |
| 1760930572 | Branden Joaquin Sibley | Nurse Anesthetist, Certified Registered | 6889 Wales Crossing St Nw Apt D, Canton, OH 44720-5383 | 2016-09-21 |
| 1366845554 | Mississippi Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 145 Sanctuary Ln, Canton, MS 39046-6601 | 2014-10-01 |
| 1104236884 | Anne Elizabeth Murray | Nurse Anesthetist, Certified Registered | 173 Dedham St, Canton, MA 02021-1560 | 2014-05-02 |
| 1952593865 | Brett T King | Nurse Anesthetist, Certified Registered | 208 Towne Overlook Dr, Canton, GA 30114-7239 | 2007-08-14 |
| 1184767436 | Sed 8 Inc. | Nurse Anesthetist, Certified Registered | 1017 Field St Nw, Canton, OH 44709-1635 | 2007-02-15 |
| 1144246190 | Elfrieda Marie Londeree | Nurse Anesthetist, Certified Registered | Ohio Hospital Based Physician Corp, 2600 Sixth Street Sw, Canton, OH 44710 | 2006-07-14 |
| 1528010675 | Brian K Norcia | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2006-05-17 |
| 1750342366 | Ramon Luis Medina | Nurse Anesthetist, Certified Registered | 125 Woodbury Ln, Canton, GA 30114-4590 | 2006-03-31 |
| Find all providers in CANTON | ||||
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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.