SAN PEDRO ANESTHESIA PC (NPI# 1215243910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215243910 |
| Entity Type | Organization |
| Organization Name | SAN PEDRO ANESTHESIA PC |
| Practice Address |
494 N Carondelet Dr Nogales AZ 85621-2453 |
| Mailing Address |
Po Box 29211 Phoenix AZ 85038-9211 |
| Practice Telephone | 5207611603 |
| Mailing Telephone | 6022736770 |
| Mailing Fax Number | 6028890483 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | JAMES L. KING (OWNER) |
| Authorized Official Telephone | 6022736770 |
| 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 |
494 N CARONDELET DR |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093772089 | Jose I Duran | Specialist | 494 N Carondelet Dr, Nogales, AZ 85621-2453 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| 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 |
|---|---|---|---|---|
| 1548210990 | Leon Francis Deisering | Nurse Anesthetist, Certified Registered | 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 | 2006-05-10 |
| 1760907539 | Nathan Alan Harvey | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2017-08-13 |
| 1285723700 | Kerry Donn Smith | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-10-12 |
| 1316040769 | Santa Cruz Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 | 2006-09-07 |
| 1255375747 | Amos Herr Wilkinson | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-06-15 |
| 1356392617 | James Lindsey King | Nurse Anesthetist, Certified Registered | 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 | 2006-05-12 |
| 1659333078 | Carolyn Frances Kenngott | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-04-03 |
| 1528028537 | John A. Moore | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-03-24 |
| 1245219179 | Stephen A Henefield | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895994 | Kelli Dee Gleason | Nurse Anesthetist, Certified Registered | 8339 E Vista Dr, Scottsdale, AZ 85250-7321 | 2020-09-14 |
| 1164032249 | John Durkin | Nurse Anesthetist, Certified Registered | 2000 E Southern Ave Ste 105, Tempe, AZ 85282-7510 | 2020-08-04 |
| 1376182758 | Native Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2747 E University Dr, Mesa, AZ 85213-8437 | 2020-01-02 |
| 1003453408 | Kevin L Olena Crna, Pllc | Nurse Anesthetist, Certified Registered | 3432 E Georgia Ave, Phoenix, AZ 85018-1501 | 2019-12-04 |
| 1144863549 | As Needed Anesthesia | Nurse Anesthetist, Certified Registered | 4045 E Bell Rd Ste 127, Phoenix, AZ 85032-2234 | 2019-10-18 |
| 1740831775 | Jared Thirjung | Nurse Anesthetist, Certified Registered | 1718 W Colter St Unit 172, Phoenix, AZ 85015-2955 | 2019-09-20 |
| 1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
| 1669959235 | Erin Galligan | Nurse Anesthetist, Certified Registered | 1501 N Campbell, Tucson, AZ 85721-0001 | 2018-07-25 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1144748906 | Mountain West Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 20940 N Tatum Blvd Ste 100, Phoenix, AZ 85050-7259 | 2017-08-31 |
| 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.