ATTENTUS MOULTON, LLC (NPI# 1174968572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968572 |
| Entity Type | Organization |
| Organization Name | ATTENTUS MOULTON, LLC |
| Other Organization Name | LAWRENCE MEDICAL CENTER ANESTHESIA |
| Practice Address |
202 Hospital St Moulton AL 35650-1218 |
| Mailing Address |
Po Box 660257 Birmingham AL 35266-0257 |
| Practice Telephone | 2569742298 |
| Practice Fax Number | 2569744215 |
| Mailing Telephone | 2059795882 |
| Mailing Fax Number | 2059791248 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | BOBBY DOVER (BOARD MEMBER) |
| Authorized Official Telephone | 2569742206 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATTENTUS MOULTON, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Lawrence Medical Center Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033155791 | Attentus Moulton, LLC | Clinic/Center | 350 Tennessee Street, Courtland, AL 35618 | 2006-06-21 |
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1568453389 | Attentus Moulton, LLC | General Acute Care Hospital | 202 Hospital St, Moulton, AL 35650-1218 | 2005-11-01 |
| 1760930200 | Attentus Moulton, LLC | Clinic/Center | 40 Medical Cir, Moulton, AL 35650-1256 | 2016-09-13 |
| 1699194308 | Attentus Moulton, LLC | Clinic/Center | 94 Medical Cir, Moulton, AL 35650-1256 | 2014-04-09 |
| Street Address |
202 HOSPITAL ST |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453389 | Attentus Moulton, LLC | General Acute Care Hospital | 202 Hospital St, Moulton, AL 35650-1218 | 2005-11-01 |
| 1134530801 | Attentus Moulton LLC | Medicare Defined Swing Bed Unit | 202 Hospital St, Moulton, AL 35650-1218 | 2014-05-15 |
| 1700135720 | Performance Anesthesia Inc | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2012-09-05 |
| 1144502402 | Warrior Mountain Emergency Physicians LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2011-09-13 |
| 1164618039 | Tuckier Surgical Clinic | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2007-09-24 |
| 1881811222 | Lawrence Emergency Group LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2007-04-19 |
| 1346282282 | Larry Glen Stephens | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-12 |
| 1366480774 | Adeniyi Faruk Koiki | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-04 |
| 1679523757 | Rex C Tuckier | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| 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 |
|---|---|---|---|---|
| 1700135720 | Performance Anesthesia Inc | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1740838820 | Kristi Kell Falco | Nurse Anesthetist, Certified Registered | 200 Broad St # 300, Gadsden, AL 35901-3754 | 2019-08-31 |
| 1013570803 | Amber Lynne Denaburg | Nurse Anesthetist, Certified Registered | 261 County Road 1403, Cullman, AL 35058-0596 | 2019-04-17 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1366906521 | Tanner Medical Center Alabama Inc | Nurse Anesthetist, Certified Registered | 1032 Main St S, Wedowee, AL 36278-7440 | 2019-01-22 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| Find all providers with the same taxonomy | ||||
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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.