MAX BLANE BULLEN (NPI# 1093852329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093852329 |
| Entity Type | Individual |
| Full Name | MAX BLANE BULLEN |
| Practice Address |
Bapitist Medical Center South,2105 East South Boulevard Montgomery AL 38111-0010 |
| Mailing Address |
144 Canter Way Alabaster AL 35007-7610 |
| Practice Telephone | 3342882100 |
| Mailing Telephone | 2056215240 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-054439 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BAPITIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 38111-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| 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 |
|---|---|---|---|---|
| 1659816312 | Eric Griesheimer | Nurse Anesthetist, Certified Registered | 9924 Forestglen Dr, Montgomery, OH 45242-5116 | 2017-01-04 |
| 1689129504 | Bkt Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 44 Market Plz, 304, Montgomery, AL 36104-3943 | 2016-08-20 |
| 1326224221 | Todd L Hicks | Nurse Anesthetist, Certified Registered | 8600 Lenox Way, Montgomery, AL 36116-6641 | 2008-01-10 |
| 1730240276 | Kimberly Rae Latham | Nurse Anesthetist, Certified Registered | Premier Anesthesia-baptist Hospital East, 400 Taylor Road, Montgomery, AL 36617 | 2006-12-12 |
| 1285748855 | Debra Kay Chevalier | Nurse Anesthetist, Certified Registered | 168 April Waters Dr N, Montgomery, TX 77356-5886 | 2006-08-19 |
| 1376577429 | Kathy A Beck | Nurse Anesthetist, Certified Registered | 2752 Zelda Road, Montgomery, AL 36106-2699 | 2006-07-11 |
| 1881639300 | Bryce Leon Rockman | Nurse Anesthetist, Certified Registered | 4028 Meredith Dr, Montgomery, AL 36109-2343 | 2006-06-18 |
| 1902858640 | Alton Rance Wiggins | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2006-05-17 |
| 1477510089 | Laura A. Griffin | Nurse Anesthetist, Certified Registered | 470 Taylor Road, Montgomery, AL 36117-3563 | 2006-04-27 |
| 1215900493 | Gary C Hammond | Nurse Anesthetist, Certified Registered | 855 E South Blvd, Montgomery, AL 36116-2307 | 2006-02-09 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 38111 |
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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.