SOUTHCREST ANESTHESIA GROUP LLC (NPI# 1205880754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205880754 |
| Entity Type | Organization |
| Organization Name | SOUTHCREST ANESTHESIA GROUP LLC |
| Practice Address |
8801 S 101st East Ave Tulsa OK 74133-5716 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 9182944803 |
| Mailing Telephone | 6154657626 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | MS. DEBBIE BREWER (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154651626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200085890A | 05 |
| Street Address |
8801 S 101ST EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509727 | Wayne Joseph Gartner | Nurse Anesthetist, Certified Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2005-06-27 |
| 1932727047 | Ashley Rae Flowers | Student in an Organized Health Care Education/Training Program | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2020-07-07 |
| 1023669694 | Heather Nicole Chase | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-09-25 |
| 1194285825 | Kerri Francis | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-03-20 |
| 1194227744 | Ashley L Wallace | Registered Nurse | 8801 S 101st East Ave, Tulsa, OK 74133 | 2018-02-28 |
| 1174034003 | Teresa Kathryn Hundley | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-10-18 |
| 1043751241 | Mallory Crutchfield | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-20 |
| 1548701949 | Jennifer T Watkins | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-17 |
| 1013456326 | Ahs Southcrest Hospital, LLC | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-02-20 |
| 1124564075 | Emily Hutchinson | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557242 | Lifeguard Anesthesia Services LLC | Anesthesiology | 6310 E 102nd St, Tulsa, OK 74137-7061 | 2017-09-11 |
| 1598029431 | Clinical Medical Consultants of Oklahoma LLC | Anesthesiology | 10807 S 91st East Ave, Tulsa, OK 74133-7077 | 2012-06-26 |
| 1518230002 | Advanced Pain Specialists of Tulsa, Pllc | Anesthesiology | 5555 E 71st St Ste 7200, Tulsa, OK 74136-6544 | 2012-02-15 |
| 1851619688 | Anthony Paul Tricinella | Anesthesiology | 1611 S Utica Ave, Box 217, Tulsa, OK 74104 | 2010-05-04 |
| 1366692295 | Megan Rian Buchan | Anesthesiology | 1924 S Utica Ave Ste 400, Tulsa, OK 74104-6510 | 2008-09-28 |
| 1790947083 | Chad Michael Cannon | Anesthesiology | 8131 S. Memorial Drive, Suite 107, Tulsa, OK 74133-4348 | 2008-06-27 |
| 1831380021 | Kathy Copeland Trahan | Anesthesiology | 2425 E 45th St, Tulsa, OK 74105 | 2007-08-05 |
| 1275755654 | Brian W Macha | Anesthesiology | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2007-05-03 |
| 1528107406 | Jose Ivan Vela-hernandez | Anesthesiology | Hhs Centralized Verification/medical Staff Services, 1120 S Utica Ave, Tulsa, OK 74104 | 2007-02-06 |
| 1689721565 | Sarah S. Turner | Anesthesiology | 7380 S Olympia Ave W, Suite 312, Tulsa, OK 74132-1849 | 2007-01-04 |
| Find all providers in TULSA | ||||
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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.