INTEGRA ANESTHESIA ASSOCIATES LLC (NPI# 1184876682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184876682 |
| Entity Type | Organization |
| Organization Name | INTEGRA ANESTHESIA ASSOCIATES LLC |
| Practice Address |
1825 Martha Berry Blvd Nw Rome GA 30165-1625 |
| Mailing Address |
519 Broad St Suite 106 Rome GA 30161-1734 |
| Practice Telephone | 7067678347 |
| Mailing Telephone | 7067678347 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | PHYLLIS A PEMERTON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7067678347 |
| Authorized Official Credential | RN, MBA |
| 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 |
1825 MARTHA BERRY BLVD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104924 | Natasha Amanda Sands | Family Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2005-06-16 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
| 1508479536 | Emily Adams Thornberry | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-08-28 |
| 1831738368 | Lori Patricia Bain | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-01-01 |
| 1225670532 | Caleb Elisha Etheridge | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-10-09 |
| 1306498118 | Allison Heidi Pledger | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-07-11 |
| 1396301180 | Julie Goulding Shrewsbury | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-05-16 |
| 1346725264 | Lacy Holland Lacey | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-09-26 |
| 1215439286 | Swaraj Suhas Hublikar | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-03-06 |
| 1245740828 | Ashley Marie Gaulin | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2017-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1568438232 | Eric N Curvin | Nurse Anesthetist, Certified Registered | 4 Sleepy Oaks Trl Ne, Rome, GA 30165-9326 | 2006-02-23 |
| 1538155957 | Douglas Lynn Holstein | Nurse Anesthetist, Certified Registered | 519 Broad St, Suite 106, Rome, GA 30161-1734 | 2005-09-21 |
| 1386644748 | Allen Migliaccio | Nurse Anesthetist, Certified Registered | 536 S Jay St, Rome, NY 13440-1626 | 2005-07-28 |
| 1619475506 | James Adrian Stacy | Nurse Anesthetist, Certified Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2018-01-25 |
| 1760831036 | Caitlin Caroline Russell | Nurse Anesthetist, Certified Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2016-06-08 |
| 1861730707 | Jennifer Susanne Garrett | Nurse Anesthetist, Certified Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2013-01-28 |
| 1720310535 | Libba Katherine Peek | Nurse Anesthetist, Certified Registered | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2010-02-03 |
| 1790010528 | Larry Alan Lavender | Nurse Anesthetist, Certified Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2009-10-13 |
| 1588853774 | Linda S Tomey | Nurse Anesthetist, Certified Registered | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2007-10-24 |
| 1518067487 | Sheldon E Millican | Nurse Anesthetist, Certified Registered | 11 John Maddox Dr Nw, Rome, GA 30165-1413 | 2006-09-22 |
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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.