CHARLES M HAGEDORN (NPI# 1144280470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144280470 |
| Entity Type | Individual |
| Full Name | CHARLES M HAGEDORN |
| Credential | CRNA |
| Practice Address |
2307 Barada St Cmc Falls City NE 68355 |
| Mailing Address |
924 Patricia Drive Falls City NE 68355 |
| Practice Telephone | 4022452428 |
| Practice Fax Number | 4022456547 |
| Mailing Telephone | 4022452980 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | R022529 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | R00081612 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 55374 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 100561 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2307 BARADA ST CMC |
| City | FALLS CITY |
| State | NE |
| Zip Code | 68355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184143943 | Community Medical Center, Inc | Clinic/Center | 3307 Barada Street, Falls City, NE 68355 | 2017-09-13 |
| 1407232242 | Sherry J. Maddox | Speech-Language Pathologist | 1415 Morton Street, Falls City, NE 68355 | 2015-08-04 |
| 1427199843 | Tpk Corporation | Pharmacy | 1602 & One Half Stone Street, Falls City, NE 68355 | 2007-02-09 |
| 1659433555 | Tobin Optical Center | Eyewear Supplier (Equipment, not the service) | 1823 Chase Street, Falls City, NE 68355 | 2006-12-15 |
| 1093887119 | Tammy Lynn Schilling-montgomery | Counselor | 116 West 19th, Falls City, NE 68355 | 2006-11-14 |
| 1205943792 | James D Slominski | Dentist | 1901 Chase St, Falls City, NE 68355 | 2006-08-23 |
| 1164539540 | Charles Robert James Jr. | Dentist | 2107 Stone Street, Falls City, NE 68355 | 2006-08-23 |
| 1073098562 | Brittne Latoya Morris | Nurse Practitioner | 3307 Barada Street, Falls City, NE 68355 | 2018-10-01 |
| 1467944686 | Taylor Metzger | Physical Therapy Assistant | 3307 Barada St, Falls City, NE 68355 | 2018-06-04 |
| 1740280437 | Kismet Fnb, LLC | Skilled Nursing Facility | 2800 Towle St, Falls City, NE 68355-1065 | 2005-07-26 |
| Find all providers in zip 68355 | ||||
| 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 |
|---|---|---|---|---|
| 1497103568 | Ryan William Stagemeyer | Nurse Anesthetist, Certified Registered | 136 E Fairview St, Albion, NE 68620-1630 | 2016-05-31 |
| 1699123976 | Walross Jim Basit | Nurse Anesthetist, Certified Registered | 4544 Bancroft Ave Apt 4, Lincoln, NE 68506-4272 | 2016-05-27 |
| 1053768945 | Clark Jackson | Nurse Anesthetist, Certified Registered | 2500 S 60th St Apt 21, Lincoln, NE 68506-3579 | 2016-05-20 |
| 1750736211 | Ruben Chavez | Nurse Anesthetist, Certified Registered | 420 W 5th St Ste 101, Hastings, NE 68901-7551 | 2016-05-03 |
| 1427443159 | Jessica Thurlow | Nurse Anesthetist, Certified Registered | 11154 County Road 19, Blair, NE 68008-3626 | 2015-03-31 |
| 1972997062 | Kellyn Nieland | Nurse Anesthetist, Certified Registered | 5913 N 166th Ct, Omaha, NE 68116-3715 | 2015-03-26 |
| 1548678162 | Matthew Skaggs | Nurse Anesthetist, Certified Registered | 79711 467th Ave, Arcadia, NE 68815 | 2014-07-28 |
| 1376961706 | Jennifer Kjolhede | Nurse Anesthetist, Certified Registered | 15435 Douglas Cir, Omaha, NE 68154-2051 | 2014-04-02 |
| 1093051989 | Carl C Blackwood | Nurse Anesthetist, Certified Registered | 5701 Lillibridge St Apt 10, Lincoln, NE 68506-3543 | 2012-12-20 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CITY |
| Zip Code | 68355 |
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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.