JEREMY DAVID CARPENTER


Address: 3211 Dudley Ave, Parkersburg, WV 26104-1813
Phone: 3044223904

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810019342 05
OH 3136529 05

Other Providers JEREMY CARPENTER

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

Office Location

Street Address 3211 DUDLEY AVE
City PARKERSBURG
State WV
Zip Code 26104-1813

Providers in the same location

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

Providers in the same zip code

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 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
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

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City PARKERSBURG
Zip Code 26104

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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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