JASON BROOKS (NPI# 1205811924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205811924 |
| Entity Type | Individual |
| Full Name | JASON BROOKS |
| Credential | CRNA |
| Practice Address |
1500 N Oakland Ave Bolivar MO 65613-3011 |
| Practice Telephone | 4177776911 |
| Practice Fax Number | 6608264852 |
| Mailing Telephone | 4177776911 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 132099 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316205859 | Jason Michael Brooks | Chiropractor | 2 Riveredge Drive, Brick, NJ 08724-1339 | 2012-05-02 |
| 1164465712 | Jason Brooks | Family Medicine | 634 S Bailey St, Ste 104, Palmer, AK 99645-6330 | 2006-06-13 |
| 1922626514 | Jason H Brooks | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-09 |
| 1164904421 | Jason Brooks | Pharmacist | 310 Vernon Ave, Denton, NC 27239-8913 | 2018-09-04 |
| 1982143764 | Jason S Brooks | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-14 |
| 1265984942 | Jason Anders Brooks | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2016-10-28 |
| 1417360793 | Jason Kozinn Brooks | Emergency Medicine | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2014-06-04 |
| 1669811725 | Jason Charles Brooks | Counselor | 52 Perry St, Newnan, GA 30263-1974 | 2013-06-21 |
| 1427215128 | Jason Andrew Brooks | Ophthalmology | 759 45th Ave, Suite 101, Munster, IN 46321-2938 | 2008-05-20 |
| 1871567677 | Jason P Brooks | Nurse Anesthetist, Certified Registered | 147 Gettys St, Gettysburg, PA 17325-2534 | 2006-02-16 |
| Street Address |
1500 N OAKLAND AVE |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705305 | Bryan E Flueckiger | Psychiatry & Neurology | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2005-07-28 |
| 1750994281 | Lynetta S Smith | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2020-08-25 |
| 1689282485 | Austin Gott | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2020-07-17 |
| 1275141129 | Mesha Cowan | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2020-07-16 |
| 1700427358 | Micah Miller | Physician Assistant | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2019-10-04 |
| 1619438009 | Kristina Vance | Occupational Therapist | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2019-03-27 |
| 1417420381 | Melissa Sue Moores | Social Worker | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2019-01-03 |
| 1982171625 | Kimberly Doolin | Registered Nurse | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2018-10-31 |
| 1356837694 | Katelynn Stewart | Specialist/Technologist | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2018-07-10 |
| 1902315401 | Daniel J Ferguson | Nurse Practitioner | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| 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 |
|---|---|---|---|---|
| 1770568842 | Parkview Anesthesia | Nurse Anesthetist, Certified Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2005-12-13 |
| 1760467807 | Rodney Hoover | Nurse Anesthetist, Certified Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2005-12-13 |
| 1104801240 | Peter Mosca | Nurse Anesthetist, Certified Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251066 | Yousra Amor | Nurse Anesthetist, Certified Registered | St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122-3313 | 2020-06-29 |
| 1457970899 | William Moran | Nurse Anesthetist, Certified Registered | 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 | 2020-04-15 |
| 1437784329 | Apollo Medical Group of Lee's Summit LLC | Nurse Anesthetist, Certified Registered | 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 | 2020-03-11 |
| 1780228155 | Olde Cabin Anesthesia | Nurse Anesthetist, Certified Registered | 11525 Olde Cabin Rd Ste 101, Creve Coeur, MO 63141-7146 | 2019-10-29 |
| 1831652049 | Kristin S Turner | Nurse Anesthetist, Certified Registered | 8991 State Highway 171, Carl Junction, MO 64834-6148 | 2019-04-14 |
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
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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.