HARVEY R SHADBOLT


Address: 1501 S Coulter St, Amarillo, TX 79106-1770
Phone: 8063541000

HARVEY R SHADBOLT (NPI# 1225088396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225088396
Entity Type Individual
Full Name HARVEY R SHADBOLT
Credential CRNA
Practice Address 1501 S Coulter St
Amarillo
TX 79106-1770
Mailing Address Po Box 2656
Bryan
TX 77805-2656
Practice Telephone 8063541000
Mailing Telephone 8063559595
Mailing Fax Number 8063531589
Enumeration Date 2006-05-11
Last Update Date 2008-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 231247 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA RR MEDICARE 430028516 01
TX 088863802 05

Office Location

Street Address 1501 S COULTER ST
City AMARILLO
State TX
Zip Code 79106-1770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467442418 Northwest Texas Healthcare System Inc Clinic/Center 1501 S Coulter St, Amarillo, TX 79106-1770 2005-10-21
1104431576 Gregory Allan Fenchel Jr. Nurse Anesthetist, Certified Registered 1501 S Coulter St, Amarillo, TX 79106-1770 2020-09-12
1457962888 Mercedes Ontiveros Respiratory Therapist, Certified 1501 S Coulter St, Amarillo, TX 79106-1770 2020-08-10
1780209627 Connie Lea Clement Counselor 1501 S Coulter St, Amarillo, TX 79106-1770 2020-06-16
1215552336 Simon Salazar Camarillo IIi Counselor 1501 S Coulter St, Amarillo, TX 79106-1770 2020-06-15
1063049245 Joshua Michael Pritchet Nurse Anesthetist, Certified Registered 1501 S Coulter St, Amarillo, TX 79106-1770 2020-03-26
1093367419 Emily Marie Buatois Pharmacist 1501 S Coulter St, Amarillo, TX 79106-1770 2019-07-15
1336622042 Katharine Ruth Diaz Physical Medicine & Rehabilitation 1501 S Coulter St, Amarillo, TX 79106-1770 2018-09-09
1619454394 Shayne R Teichelman Nurse Practitioner 1501 S Coulter St, Amarillo, TX 79106-1770 2018-07-25
1114435922 Matthew Alan Manley Nurse Anesthetist, Certified Registered 1501 S Coulter St, Amarillo, TX 79106-1770 2018-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104264886 Cislyn Blake Brantley Nurse Anesthetist, Certified Registered 2201 Civic Cir Ste 503, Amarillo, TX 79109-1843 2013-06-04
1841556115 Tomas Estrada Nurse Anesthetist, Certified Registered 6907 Longleaf Ln, Amarillo, TX 79124-3920 2012-04-11
1831176049 Edgar Lee Garner Nurse Anesthetist, Certified Registered 800 Quail Creek Dr Ste 103, Amarillo, TX 79124-1634 2005-12-29
1487638128 David Glen Mitchell Nurse Anesthetist, Certified Registered 7310 Fleming Ave, Amarillo, TX 79106-1807 2005-12-06
1588660500 Dorothy L Lee Nurse Anesthetist, Certified Registered 7100 Sw 9th Ave, Amarillo, TX 79106-1704 2005-06-23
1104431576 Gregory Allan Fenchel Jr. Nurse Anesthetist, Certified Registered 1501 S Coulter St, Amarillo, TX 79106-1770 2020-09-12
1205458320 William Richard Brown Nurse Anesthetist, Certified Registered 7100 W 9th Ave, Amarillo, TX 79106-1704 2020-05-12
1063049245 Joshua Michael Pritchet Nurse Anesthetist, Certified Registered 1501 S Coulter St, Amarillo, TX 79106-1770 2020-03-26
1750916169 Palo Duro Anesthesia Pllc Nurse Anesthetist, Certified Registered 1900 Medi Park Dr, Amarillo, TX 79106-2187 2020-03-05
1386276046 Gennaro Buontempo Nurse Anesthetist, Certified Registered 7100 Sw 9th Ave, Amarillo, TX 79106-1704 2020-02-10
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Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

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.

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