PACELINE ANESTHESIA SERVICE PC (NPI# 1235177361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235177361 |
| Entity Type | Organization |
| Organization Name | PACELINE ANESTHESIA SERVICE PC |
| Practice Address |
5333 S Cloverdale Ln Battlefield MO 65619-9691 |
| Practice Telephone | 4174372712 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | RICHARD C. WORLEY (PRESIDENT) |
| Authorized Official Telephone | 4174372712 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 111469 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 509327003 | 05 |
| Street Address |
5333 S CLOVERDALE LN |
| City | BATTLEFIELD |
| State | MO |
| Zip Code | 65619-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003327537 | Missouri Ltc Pharmacy LLC | Pharmacist | 6129 West Us Highway 60, Brookline, MO 65619 | 2017-10-24 |
| 1346467503 | Barbara Hicks, Msw, Lcsw | Social Worker | 5110 So Ashwood Ave, Battlefield, MO 65619 | 2007-04-19 |
| 1730481284 | Brady Lorenc | Social Worker | 3820 W Poppy Ln, Battlefield, MO 65619-5201 | 2010-12-03 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1720269715 | Leah Rehna Logan | Speech-Language Pathologist | 4042 W Sierra St, Battlefield, MO 65619-8246 | 2007-11-18 |
| 1861830192 | Eastre Ringon Anfone | Physical Therapist | 5252 S Honeysuckle Ln, Battlefield, MO 65619-8292 | 2013-06-09 |
| 1649518382 | Comc | Psychiatric Hospital | 5260 S Tanager Ave, Battlefield, MO 65619-9222 | 2013-01-30 |
| 1649319179 | John Wood | Counselor | 6372 S Farm Road 119, Battlefield, MO 65619-9389 | 2007-02-05 |
| 1356822910 | Journey Counseling Center | Counselor | 4747 S Gold Rd, Battlefield, MO 65619-9503 | 2018-08-22 |
| 1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
| Find all providers in zip 65619 | ||||
| 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 |
|---|---|---|---|---|
| 1285251066 | Yousra Amor | Nurse Anesthetist, Certified Registered | St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122-3313 | 2020-06-29 |
| 1457970899 | William Moran | Nurse Anesthetist, Certified Registered | 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 | 2020-04-15 |
| 1437784329 | Apollo Medical Group of Lee's Summit LLC | Nurse Anesthetist, Certified Registered | 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 | 2020-03-11 |
| 1780228155 | Olde Cabin Anesthesia | Nurse Anesthetist, Certified Registered | 11525 Olde Cabin Rd Ste 101, Creve Coeur, MO 63141-7146 | 2019-10-29 |
| 1831652049 | Kristin S Turner | Nurse Anesthetist, Certified Registered | 8991 State Highway 171, Carl Junction, MO 64834-6148 | 2019-04-14 |
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
| Find all providers with the same taxonomy | ||||
| City | BATTLEFIELD |
| Zip Code | 65619 |
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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.