PENNINGTON ANESTHESIOLOGY LLC (NPI# 1245880541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245880541 |
| Entity Type | Organization |
| Organization Name | PENNINGTON ANESTHESIOLOGY LLC |
| Practice Address |
8888 Summa Ave Baton Rouge LA 70809-3720 |
| Mailing Address |
Po Box 660257 Birmingham AL 35266-0257 |
| Practice Telephone | 2257694493 |
| Mailing Telephone | 2059795882 |
| Mailing Fax Number | 2059791248 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | BRIAN PENNINGTON (PRESIDENT) |
| Authorized Official Telephone | 2253285882 |
| Authorized Official Credential | CRNA |
| 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 |
| Street Address |
8888 SUMMA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207398 | Kristie L Firmin | Physician Assistant | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2006-08-26 |
| 1285297093 | Lauren Perry | Nurse Practitioner | 8888 Summa Ave, Baton Rouge, LA 70809-3720 | 2019-04-17 |
| 1932525094 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave, 3rd Floor, Baton Rouge, LA 70809-3720 | 2014-03-13 |
| 1023384393 | Vascular Specialty Center Lab | Physiological Laboratory | 8888 Summa Ave, Cardiology Tower 3rd Fl Ste B, Baton Rouge, LA 70809-3720 | 2012-03-30 |
| 1285907394 | Celeste Morales Waguespack | Nurse Practitioner | 8888 Summa Ave, Baton Rouge, LA 70809-0000 | 2012-02-21 |
| 1801112503 | Marvin V Weaver Iv | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2010-04-20 |
| 1043453335 | Victor Q Tran | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2009-04-15 |
| 1467642777 | Joseph Martin Griffin | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2007-08-01 |
| 1326238171 | Gregory D Crenshaw | Surgery | 8888 Summa Ave, Cardiology Tower, 3rd Fl, Baton Rouge, LA 70809-3720 | 2007-07-27 |
| 1376752238 | Nakia A Newsome | Internal Medicine | 8888 Summa Ave, Baton Rouge, LA 70809-3720 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1619383809 | Tyler Grayson Borne | Nurse Anesthetist, Certified Registered | 4037 Pine Park Dr, Baton Rouge, LA 70809-2325 | 2014-07-08 |
| 1992078257 | Robby Duet | Nurse Anesthetist, Certified Registered | 8449 E Cypress Point Ct, Baton Rouge, LA 70809-2274 | 2012-02-17 |
| 1184924839 | Chad Gautreaux | Nurse Anesthetist, Certified Registered | 9020 Worth Ave, Baton Rouge, LA 70810-2722 | 2010-10-28 |
| 1487885315 | Jefferson Davis Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 13460 Coursey Blvd, Baton Rouge, LA 70816-4972 | 2009-07-27 |
| 1598887135 | John Rumfellow | Nurse Anesthetist, Certified Registered | 11414 Lake Sherwood Ave N, Baton Rouge, LA 70816-0406 | 2007-04-04 |
| 1831285469 | William Theriot | Nurse Anesthetist, Certified Registered | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2006-10-04 |
| 1801997804 | Jeffrey P Leblanc | Nurse Anesthetist, Certified Registered | 8946 Interline Ave, Suite C, Baton Rouge, LA 70809-1913 | 2006-09-25 |
| 1043317621 | Cynthia Bailey | Nurse Anesthetist, Certified Registered | 8212 Kelwood Ave, Baton Rouge, LA 70806-4801 | 2006-09-17 |
| 1487767000 | John Michael Sikes | Nurse Anesthetist, Certified Registered | 2909 Morning Glory Ave, Baton Rouge, LA 70808-2163 | 2006-08-17 |
| 1144283201 | Amanda Jill Meckes | Nurse Anesthetist, Certified Registered | 7145 Perkins Road, Baton Rouge, LA 78080-4322 | 2006-04-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.