JASON DAVID RANDALL (NPI# 1235550955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235550955 |
| Entity Type | Individual |
| Full Name | JASON DAVID RANDALL |
| Credential | CRNA |
| Practice Address |
1120 Pine St Stanley WI 54768-1297 |
| Practice Telephone | (715) 644-5571 |
| Mailing Telephone | (715) 644-5571 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 6693 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 865 Deshong Dr, Paris, TX 754609313 | 9037854521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025494 | Jason Randall | Student in an Organized Health Care Education/Training Program | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2017-04-02 |
| 1679885602 | Jason Randall | Psychologist | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2010-07-07 |
| 1700974904 | Jason Thomas Randall | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-10-11 |
| 1467408690 | Jason A Randall | Physician Assistant | 2905 W Warner Rd Ste 23, Chandler, AZ 85224-1674 | 2006-05-26 |
| Street Address |
1120 PINE ST |
| City | STANLEY |
| State | WI |
| Zip Code | 54768-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171198 | St Josephs Hospital of Marshfield Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2005-11-14 |
| 1184182388 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2019-03-06 |
| 1922520915 | Hayes Hand Surgery | Orthopaedic Surgery | 1120 Pine St, Stanley, WI 54768-1297 | 2017-07-11 |
| 1649624586 | Ascension Wisconsin Retail Pharmacy-wausau | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-18 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1588063390 | Luke E Menet | Registered Nurse | 1120 Pine St, Stanley, WI 54768-1297 | 2014-08-18 |
| 1215298922 | Alzada E Bourget | Physical Therapist | 1120 Pine St, Stanley, WI 54768-1297 | 2012-05-30 |
| 1326337619 | Total Renal Care Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2011-04-07 |
| 1871729210 | Achal Gupta | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2009-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952429003 | Dhc Partnership | Dentist | 642 N Emery St, Stanley, WI 54768 | 2007-03-27 |
| 1417964826 | Todd Ponick | Chiropractor | 9520 County Highway H, Stanley, WI 54768 | 2006-08-01 |
| 1275638066 | Northwoods Family Eyecare, LLC | Optometrist | 203 N Broadway, Stanley, WI 54768 | 2006-09-14 |
| 1023082237 | Daniel Johnson | Pharmacist | 1120 Pine Street, Stanley, WI 54768-0220 | 2006-02-14 |
| 1639221898 | Laurie Lee Norstedt | Dietitian, Registered | 1120 Pine Street, Stanley, WI 54768-0220 | 2007-01-17 |
| 1326166539 | Wayne Alan Hove | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2007-03-26 |
| 1861865644 | Stanley Hometown Dentistry | Clinic/Center | 120 W 4th Ave, Stanley, WI 54768-1002 | 2015-11-03 |
| 1861621161 | James W. Gunelson | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2009-07-08 |
| 1427186246 | Scott L. Harris | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2007-03-01 |
| 1043554561 | Gregory Robert Haas | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2012-11-21 |
| Find all providers in zip 54768 | ||||
| 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 |
|---|---|---|---|---|
| 1710967484 | Dwight W Perkins | Nurse Anesthetist, Certified Registered | 1120 Pine St, Stanley, WI 54768-1297 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
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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.