WHITE RIVER HEALTH SYSTEM, INC. (NPI# 1083962286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083962286 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM, INC. |
| Other Organization Name | WRMC ANESTHESIA GROUP |
| Practice Address |
1710 Harrison St Suite A Batesville AR 72501-7303 |
| Practice Telephone | 8702623280 |
| Practice Fax Number | 8702623284 |
| Mailing Telephone | 8702623280 |
| Mailing Fax Number | 8702623284 |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | GARY BEBOW (CEO) |
| Authorized Official Telephone | 8702626091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE | 246282 | 01 |
| Other Name | Type Code |
|---|---|
| WRMC ANESTHESIA GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904005 | White River Health System, Inc. | Clinic/Center | 195 Hospital Dr Ste C, Cherokee Village, AR 72529-7330 | 2019-07-23 |
| 1306499074 | White River Health System, Inc. | Radiology | 525 Virginia Dr, Batesville, AR 72501-7331 | 2019-07-22 |
| 1780168948 | White River Health System, Inc. | Clinic/Center | 110 Village Pl, Fairfield Bay, AR 72088-2838 | 2018-09-24 |
| 1013451186 | White River Health System, Inc. | Family Medicine | 521 Wilburn Rd, Heber Springs, AR 72543-8714 | 2016-12-08 |
| 1063955326 | White River Health System, Inc. | Home Delivered Meals | 210 School Ave, Mountain View, AR 72560-9776 | 2016-11-18 |
| 1881050334 | White River Health System, Inc. | Family Medicine | 3000 Jennings Ln, Suite H, Batesville, AR 72501-7564 | 2016-01-13 |
| 1891101580 | White River Health System, Inc. | Clinic/Center | 102 Elm St., Tuckerman, AR 72473 | 2014-07-02 |
| 1992125850 | White River Health System, Inc. | Otolaryngology | 501 Virginia Dr Ste A, Batesville, AR 72501-7317 | 2014-04-18 |
| 1467519249 | White River Health System, Inc. | Family Medicine | 501 Vine St, Newark, AR 72562-9711 | 2007-01-02 |
| 1457437568 | White River Health System, Inc. | Skilled Nursing Facility | 706 Oak Grove St, Mountain View, AR 72560-8601 | 2006-10-31 |
| Street Address |
1710 HARRISON ST SUITE A |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973500 | Kamarajapuram Raman Desikan | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2005-06-24 |
| 1316551799 | Lucenthia Georgette Warden | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-09-03 |
| 1629688247 | Gretchin Cooper | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-08-07 |
| 1891311270 | Chassidy Elyse Seward | Pharmacist | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-06-22 |
| 1437770690 | Kemuel Ezekiel Telemaque | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1023639291 | Sara Kathryn Whyte | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1992325773 | Omar Alkhatib | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-21 |
| 1386263101 | Jude-patrick Nnamdi Okafor | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-11 |
| 1922637131 | Steffie-ann Orlene Dujon | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-08 |
| 1558990952 | Soubhi Alhayek | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| 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 |
|---|---|---|---|---|
| 1215452826 | Kristina Lynn Hintzsche | Nurse Anesthetist, Certified Registered | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-08-04 |
| 1770935702 | Jana Allen | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2016-07-01 |
| 1679913750 | Mindy Manning Douglas | Nurse Anesthetist, Certified Registered | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2013-07-03 |
| 1720378177 | Ronda Lauren Davis | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2011-04-19 |
| 1326273830 | Blaine C Dore' | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2009-05-28 |
| 1023254687 | Adam B Hogue | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2008-12-31 |
| 1932375482 | George M Dunn | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2008-05-05 |
| 1619153632 | Barbara Wenning | Nurse Anesthetist, Certified Registered | 321 Mitchell Ave, Batesville, IN 47006 | 2008-01-22 |
| 1760668735 | Laura B Dover | Nurse Anesthetist, Certified Registered | 1710 Harrison St, Batesville, AR 72501-7303 | 2008-01-21 |
| 1790844421 | T M Anesthesia Assoc. PC | Nurse Anesthetist, Certified Registered | 109 Eureka St, 109 Medical Arts Bldg. Suite B, Batesville, MS 38606 | 2006-12-08 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.