STEPHENS MEMORIAL HOSPITAL (NPI# 1225253743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225253743 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL |
| Practice Address |
200 S Geneva St Breckenridge TX 76424-4702 |
| Practice Telephone | 2545592241 |
| Practice Fax Number | 2545596536 |
| Mailing Telephone | 2545592241 |
| Mailing Fax Number | 2545596536 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | MR. ERNEST R PARISI (CEO) |
| Authorized Official Telephone | 2545592241 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00C87N | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952527830 | Stephens Memorial Hospital | Psychiatric Unit | 1110 E Hullum St, Breckenridge, TX 76424-4616 | 2007-04-18 |
| 1831196005 | Stephens Memorial Hospital | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2005-07-04 |
| 1225365026 | Stephens Memorial Hospital | Clinic/Center | 203 S Geneva St, Breckenridge, TX 76424-4701 | 2009-11-16 |
| 1871736660 | Stephens Memorial Hospital | Family Medicine | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2009-04-09 |
| 1154547032 | Stephens Memorial Hospital | Clinic/Center | 202 S Hartford St, Breckenridge, TX 76424-4713 | 2007-04-18 |
| 1063638948 | Stephens Memorial Hospital | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-18 |
| 1760606339 | Stephens Memorial Hospital | Ambulance | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-12 |
| 1467513044 | Stephens Memorial Hospital | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2006-12-13 |
| 1346293172 | Stephens Memorial Hospital | Emergency Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-19 |
| 1093768210 | Stephens Memorial Hospital | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2006-05-18 |
| Street Address |
200 S GENEVA ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip Code | 76424-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196005 | Stephens Memorial Hospital | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2005-07-04 |
| 1235789140 | Stephens Memorial Hospital District | Clinical Medical Laboratory | 200 S Geneva St, Breckenridge, TX 76424-4799 | 2019-09-13 |
| 1518361369 | Stephens Memorial Hospital District | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-10-22 |
| 1750790762 | Concord Medical Group of Texas Pllc | Emergency Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-08-05 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 1285065623 | Stephens Memorial Hospital District | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-12-11 |
| 1235472556 | Texas Ess Hospitalist Pa | Internal Medicine | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-04-04 |
| 1982980587 | Barbara Monserrat Medina-palacios | Physician Assistant | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2011-10-26 |
| 1063638948 | Stephens Memorial Hospital | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-18 |
| 1760606339 | Stephens Memorial Hospital | Ambulance | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944833 | Clear Path Home Care LLC | In Home Supportive Care | 1515 West Walker St, Breckenridge, TX 76424 | 2013-07-08 |
| 1134565732 | Breckenridge Isd | Local Education Agency (LEA) | 206 North Miller St, Breckenridge, TX 76424 | 2013-05-22 |
| 1003063124 | Jeanene R Poston | Social Worker | 117 W Walker St., Breckenridge, TX 76424 | 2008-08-20 |
| 1841462033 | Bez Diagnostics | Clinic/Center | 151 Fm 207, Breckenridge, TX 76424 | 2008-03-27 |
| 1134249873 | Josephine Sally Kelly | Counselor | 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 | 2007-03-29 |
| 1780782672 | Breckenridge Family Clinic Pa | Family Medicine | 103 South Hartford Street, Breckenridge, TX 76424 | 2006-09-21 |
| 1083623326 | Todd Martin Pennartz | Dentist | 1905 W Walker St, Breckenridge, TX 76424 | 2006-08-05 |
| 1720031321 | Stephanie Elnora Stafford | Emergency Medicine | 101 South Hartford, Breckenridge Medical Clinic, Breckenridge, TX 76424 | 2006-05-18 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| 1912114406 | Jenifer Lynn Campbell | Physical Therapist | 201 Ridge Rd, Breckenridge, TX 76424-1901 | 2007-05-16 |
| Find all providers in zip 76424 | ||||
| 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 |
|---|---|---|---|---|
| 1811953441 | Cheryl L Begin | Nurse Anesthetist, Certified Registered | 392 Fairview Blvd, Breckenridge, CO 80424-8910 | 2006-04-22 |
| 1811968845 | Janice Follmer | Nurse Anesthetist, Certified Registered | 905 Columbine Rd # E, Breckenridge, CO 80424-1276 | 2006-01-28 |
| 1871970855 | Corey Stump | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-04-29 |
| 1326145228 | James J Heffele | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2006-09-20 |
| 1124135629 | Heidi Genereux | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2006-08-23 |
| 1689781171 | Robert Splichal | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2006-08-23 |
| 1295842623 | Red River Anesthesia P C | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
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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.