JED RIVERS (NPI# 1215035811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215035811 |
| Entity Type | Individual |
| Full Name | JED RIVERS |
| Credential | CRNA |
| Practice Address |
205 E Palmer Rd Bellefontaine OH 43311 |
| Mailing Address |
205 E Palmer Rd Bellefontaine OH 43311-2281 |
| Practice Telephone | 9375924015 |
| Practice Fax Number | 9372927148 |
| Mailing Telephone | 9375924015 |
| Mailing Fax Number | 9372927148 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.17745 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 67562 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2667298 | 05 | |
| WV | 3810005650 | 05 | |
| WV | MTN STATE BCBS | 001861465 | 01 |
| Street Address |
205 E PALMER RD |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669459772 | Steven William Mccornack | Anesthesiology | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2005-12-29 |
| 1861091696 | Emma C Regula | Dietitian, Registered | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2020-10-22 |
| 1386264851 | Amy L Keller | Dietitian, Registered | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2020-04-24 |
| 1487283412 | Abbey Lynn Bensman | Dietitian, Registered | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2020-04-02 |
| 1780226878 | Kaitlyn Elizabeth Saunders | Pharmacist | 205 E Palmer Rd, Bellefontaine, OH 43311-2298 | 2019-10-10 |
| 1508410606 | Angela Dawn Ream | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311-2298 | 2019-07-26 |
| 1871057349 | Michelle Lee Kennard | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2019-01-29 |
| 1417421744 | Jodi Lynn Cook | Pharmacist | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2019-01-21 |
| 1295239358 | Christina Marie Myers | Pharmacist | 205 E Palmer Rd, Bellefontaine, OH 43311-2298 | 2018-03-22 |
| 1871011544 | Akita Miller-abbey | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2017-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| 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 |
|---|---|---|---|---|
| 1407139355 | Alisha R Kent | Nurse Anesthetist, Certified Registered | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2011-09-27 |
| 1801103452 | Dustyn W. Auckerman | Nurse Anesthetist, Certified Registered | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2010-09-02 |
| 1225113525 | Marcus R Burhanna | Nurse Anesthetist, Certified Registered | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2006-10-26 |
| 1962587279 | David M Elliot | Nurse Anesthetist, Certified Registered | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737438 | Apollo Medical Group of West Chester LLC | Nurse Anesthetist, Certified Registered | 8742-8744 Union Centre Blvd., West Chester, OH 45069-4876 | 2020-10-12 |
| 1184221731 | Kristina Lasko Popelas | Nurse Anesthetist, Certified Registered | 2395 W 6th St, Cleveland, OH 44113-4524 | 2020-10-07 |
| 1427683309 | Eliud Rosales | Nurse Anesthetist, Certified Registered | 1 Akron General Ave Ofc, Akron, OH 44307-2432 | 2020-03-11 |
| 1003446436 | Walter Gerrard Williams II | Nurse Anesthetist, Certified Registered | 32480 W Nimrod St, Solon, OH 44139-4436 | 2020-01-24 |
| 1073153508 | Timothy King | Nurse Anesthetist, Certified Registered | 672 Brevard Cir, Pickerington, OH 43147-7875 | 2020-01-13 |
| 1952940660 | Lauren Marissa Whitfield | Nurse Anesthetist, Certified Registered | 108 Yellowstone Ct, Berea, OH 44017-3145 | 2019-12-27 |
| 1376181966 | Mac Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 188 Compton Rd, Cincinnati, OH 45215-5154 | 2019-12-14 |
| 1033771480 | Sammy S. Loonkishu | Nurse Anesthetist, Certified Registered | 414 Crystal Point Dr, Dayton, OH 45459-4170 | 2019-07-07 |
| 1316400955 | Victoria Alejandra Sorensen | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd Ste 4400, Kettering, OH 45429-1273 | 2019-04-10 |
| 1356826028 | Cara Eileen Shaw | Nurse Anesthetist, Certified Registered | 6915 Garber Rd, Bellville, OH 44813-8987 | 2018-09-28 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.