JEFFERY W EDSTROM (NPI# 1164427274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164427274 |
| Entity Type | Individual |
| Full Name | JEFFERY W EDSTROM |
| Other Name | JEFF W EDSTROM |
| Practice Address |
497 W Lott St Buffalo WY 82834-1658 |
| Mailing Address |
553 N Pinnacle Dr Buffalo WY 82834-1416 |
| Practice Telephone | 3076845521 |
| Practice Fax Number | 3076845385 |
| Mailing Telephone | 3076847817 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 129337 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43403300 | 05 |
| Street Address |
497 W LOTT ST |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487865 | Savanah K Jackson | Dietitian, Registered | 497 W Lott St, Buffalo, WY 82834-1658 | 2020-11-05 |
| 1083044630 | Chelsea Puente | Physician Assistant | 497 W Lott St, Buffalo, WY 82834-1658 | 2013-11-18 |
| 1629364377 | Lisa Marie Mullen | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1658 | 2011-06-21 |
| 1336229624 | Jennifer Ann Rice | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1658 | 2006-10-17 |
| 1336128883 | Traci Denise Darnell | Physician Assistant | 497 W Lott St, Buffalo, WY 82834-1609 | 2006-01-12 |
| 1346228483 | Lawrence Edward Kirven | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1316925456 | Aubrey Dozier Tabb | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1306824446 | Grace Marie Gosar | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1023096153 | Hermilo Gonzalez Jr. | Family Medicine | 497 W Lott St, Buffalo, WY 82834-1609 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| 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 |
|---|---|---|---|---|
| 1306245154 | Fayelyn Jean Horesh | Nurse Anesthetist, Certified Registered | 935 W Ferry St, Apt 4, Buffalo, NY 14209-1425 | 2014-08-18 |
| 1265674964 | Mary Elizabeth Rayfield | Nurse Anesthetist, Certified Registered | 216 Brookside Dr, Buffalo, NY 14220-2846 | 2009-03-27 |
| 1851470207 | Roberta Lynn Reedy | Nurse Anesthetist, Certified Registered | Vawnyhcs 3495 Bailey Avenue, Routing Code 128, Buffalo, NY 14215 | 2006-11-06 |
| 1871537464 | Parkside Medical Anesthesia Associates | Nurse Anesthetist, Certified Registered | 2157 Main Street, Buffalo, NY 14214 | 2006-06-15 |
| 1346282316 | David Scott James | Nurse Anesthetist, Certified Registered | 33 Prairie Dr, Buffalo, WY 82834-9340 | 2006-06-12 |
| 1568086247 | Jennifer M Hull | Nurse Anesthetist, Certified Registered | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2020-05-29 |
| 1659994606 | Dene Ann Dainotto | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Buffalo, NY 14217-1304 | 2020-05-26 |
| 1912528183 | Laura M Senchoway | Nurse Anesthetist, Certified Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2020-04-29 |
| 1881215093 | Kristen Fay Phillips | Nurse Anesthetist, Certified Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2020-04-28 |
| 1134740350 | Danielle Doherty | Nurse Anesthetist, Certified Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2020-04-28 |
| Find all providers in BUFFALO | ||||
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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.