JEREMY DAVID CARPENTER (NPI# 1235356064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235356064 |
Entity Type | Individual |
Full Name | JEREMY DAVID CARPENTER |
Credential | CRNA |
Practice Address |
3211 Dudley Ave Parkersburg WV 26104-1813 |
Mailing Address |
910 51st St Vienna WV 26105-3142 |
Practice Telephone | 3044223904 |
Mailing Telephone | 3048341193 |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-10-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP009322 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | COA.12311-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 57744 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810019342 | 05 | |
OH | 3136529 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427478064 | Jeremy Carpenter | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2014-04-22 |
1316192842 | Jeremy Carpenter | Psychiatry & Neurology | 446 Morgan St, Cincinnati, OH 45206-2348 | 2008-11-25 |
Street Address |
3211 DUDLEY AVE |
City | PARKERSBURG |
State | WV |
Zip Code | 26104-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477512408 | United Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2006-03-20 |
1073087482 | Brian Powderly Md Pllc | Family Medicine | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2019-01-18 |
1972051282 | Matthew Christian Killingsworth | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2016-09-15 |
1023563418 | Jennifer Brunoni | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2016-08-16 |
1750763561 | Mathew Bryan Christman | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104 | 2015-06-29 |
1861786923 | Jennifer L Edwards | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2011-06-07 |
1316102429 | Courtney Lee Mclain | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2008-07-29 |
1477693489 | Robert D Bailiff | Anesthesiology | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2007-02-07 |
1457397473 | Matthew Lee Beard | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346736758 | Recover Together, Inc. | Internal Medicine | 4421 Emerson Ave, Parkersburg, WV 26104 | 2018-07-09 |
1588196596 | Michael R. Cox D.d.s. P.l.l.c. | Dentist | 3705 Emerson Ave., Parkersburg, WV 26104 | 2017-03-29 |
1629249578 | Samantha Foggin | Speech-Language Pathologist | 103 Rosemar Center, Parkersburg, WV 26104 | 2008-03-19 |
1891825204 | Denise Kirsch | Massage Therapist | 2911 Emerson Ave, Parkersburg, WV 26104 | 2007-03-06 |
1558497420 | Lori M Limb | Specialist | 4317 Emerson Ave., Parkersburg, WV 26104 | 2007-02-26 |
1225125149 | David Mallory Morford | Dentist | 3903 Emerson Ave, Parkersburg, WV 26104 | 2006-10-10 |
1427158484 | Joel David Shiffler | Family Medicine | 2003 Murdock, Ste A, Parkersburg, WV 26104 | 2006-09-22 |
1912001074 | L.e.h. Associates, Inc. | Hearing Aid Equipment | 1100 !/2 36th Street, Parkersburg, WV 26104 | 2006-09-11 |
1760445035 | Heather Ann Mccarter | Chiropractor | 4315 Emerson Avenue, Parkersburg, WV 26104 | 2006-04-08 |
1467438192 | Cathy Anne Dailey | Pediatrics | 3705 Emerson Ave, Parkersburg, WV 26104 | 2005-12-15 |
Find all providers in zip 26104 |
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 |
---|---|---|---|---|
1629037312 | Teresa L Harriman | Nurse Anesthetist, Certified Registered | 103 Briarwood Pl, Parkersburg, WV 26104-9242 | 2006-03-21 |
1477512408 | United Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2006-03-20 |
1184244980 | Summer Meadows | Nurse Anesthetist, Certified Registered | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2020-04-21 |
1972051282 | Matthew Christian Killingsworth | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2016-09-15 |
1023563418 | Jennifer Brunoni | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2016-08-16 |
1750763561 | Mathew Bryan Christman | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104 | 2015-06-29 |
1861786923 | Jennifer L Edwards | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2011-06-07 |
1316102429 | Courtney Lee Mclain | Nurse Anesthetist, Certified Registered | 3211 Dudley Ave, Parkersburg, WV 26104-1813 | 2008-07-29 |
1427226695 | Dean S Wagner | Nurse Anesthetist, Certified Registered | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2008-02-11 |
1740471796 | Connie S Woodyard | Nurse Anesthetist, Certified Registered | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2007-08-06 |
Find all providers in PARKERSBURG |
City | PARKERSBURG |
Zip Code | 26104 |
Please comment or provide details below to improve the information on JEREMY DAVID CARPENTER.
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.