GENESIS ANESTHESIA, PLLC (NPI# 1174974133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174974133 |
| Entity Type | Organization |
| Organization Name | GENESIS ANESTHESIA, PLLC |
| Practice Address |
850 Ed Hall Dr Kaufman TX 75142-1861 |
| Mailing Address |
4100 International Plz Suite 600 Fort Worth TX 76109-4820 |
| Practice Telephone | 9729327344 |
| Mailing Telephone | 8175292650 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | THEODOOR CHRISTIAAN HANCKE (GROUP PRESIDENT) |
| Authorized Official Telephone | 8175292650 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
850 ED HALL DR |
| City | KAUFMAN |
| State | TX |
| Zip Code | 75142-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336117662 | Steven L. Altshuler | Radiology | 850 Ed Hall Dr, Kaufman, TX 75142-1861 | 2006-03-11 |
| 1346612769 | Feni Stanley John | Nurse Practitioner | 850 Ed Hall Dr, Kaufman, TX 75142-1861 | 2015-10-25 |
| 1245648195 | Anantha Chentha | Internal Medicine | 850 Ed Hall Dr, Kaufman, TX 75142-1861 | 2014-07-23 |
| 1700172145 | Christian Orji | Family Medicine | 850 Ed Hall Dr, Kaufman, TX 75142-1861 | 2011-06-23 |
| 1225098957 | Stephen R Mcmahon | Internal Medicine | 850 Ed Hall Dr, Kaufman, TX 75142-1861 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301996 | Interventional Partners LLC | Podiatrist | 874 W. Highway 243, Ste. 110, Kaufman, TX 75142 | 2019-11-20 |
| 1447731369 | Misty Dawn Wainright | Occupational Therapy Assistant | 1803 Tx 243, Kaufman, TX 75142 | 2018-08-28 |
| 1003286907 | Heather Marie Jones | Occupational Therapy Assistant | 2700 Commerce Way Suite 100, Suite 100, Kaufman, TX 75142 | 2015-10-05 |
| 1598140519 | Gruenepointe 1 Kaufman, LLC | Skilled Nursing Facility | 1803 Hwy. 243 Est, Kaufman, TX 75142 | 2015-07-21 |
| 1235526583 | Texas Dentistry | Dentist | 100 East Kings Fort Parkway, Ste# 100, Kaufman, TX 75142 | 2015-04-23 |
| 1407189517 | Window To The Body | Dentist | 850 W Hwy 243, Kaufman, TX 75142 | 2009-09-09 |
| 1851527667 | Ashley Stewart | Speech-Language Pathologist | 1701 South Washignton Suite C, Kaufman, TX 75142 | 2009-06-08 |
| 1881862779 | Nancy Carol Cook | Obstetrics & Gynecology | 874 Hwy 243 W, Suite 115 Dr Angelina Rivero, Kaufman, TX 75142 | 2008-02-14 |
| 1346448263 | Mcmahon's Foundation Christian Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4883 County Road 4101, Kaufman, TX 75142 | 2007-07-03 |
| 1427112218 | Misty M Fairchild | Occupational Therapist | 2700 Commerce Way Ste 100, Kaufman, TX 75142 | 2006-12-19 |
| Find all providers in zip 75142 | ||||
| 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 |
|---|---|---|---|---|
| 1326070970 | Robert E Dickens | Nurse Anesthetist, Certified Registered | 5222 County Road 4098, Kaufman, TX 75142-8977 | 2006-07-06 |
| 1114949286 | Robert Dwayne Anderson | Nurse Anesthetist, Certified Registered | 850 W Highway 243, Kaufman, TX 75142-1861 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| 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.