MR. BRYAN T AFFOLTER (NPI# 1265407134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265407134 |
| Entity Type | Individual |
| Full Name | MR. BRYAN T AFFOLTER |
| Credential | CRNA |
| Practice Address |
924 Spring Creek Rd Chattanooga TN 37412-3910 |
| Mailing Address |
Po Box 11114 Chattanooga TN 37401-2114 |
| Practice Telephone | 4238991600 |
| Practice Fax Number | 4238992171 |
| Mailing Telephone | 4238991600 |
| Mailing Fax Number | 4238922171 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN153379 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN102072 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APN11209 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3629459 | 05 | |
| TN | BCBS | 3141447 | 01 |
| Street Address |
924 SPRING CREEK RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538173638 | Donald R Lechler | Specialist | 924 Spring Creek Rd, Chattanooga, TN 37412-3910 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| 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 |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1093113722 | Courtney Louise Lively-manyam | Nurse Anesthetist, Certified Registered | 975 E 3rd St # C-235, Chattanooga, TN 37403-2147 | 2014-12-11 |
| 1477959179 | Elaine Cook | Nurse Anesthetist, Certified Registered | 4812 Montcrest Cir, Chattanooga, TN 37416-1213 | 2014-11-07 |
| 1063720720 | Heather Bonnie Wilson | Nurse Anesthetist, Certified Registered | 8620 Oak View Dr, Chattanooga, TN 37421-4386 | 2010-09-15 |
| 1063737278 | Elizabeth Ann Kouvarakis | Nurse Anesthetist, Certified Registered | 2571 Triangle Farm Rd, Chattanooga, TN 37421-2874 | 2010-03-30 |
| 1730284183 | Elizabeth Ellen Jedamski | Nurse Anesthetist, Certified Registered | 1801 Gunbarrel Road, Chattanooga, TN 37421 | 2006-09-13 |
| 1104845825 | Kim Price | Nurse Anesthetist, Certified Registered | 979 E 3rd St # C300, Chattanooga, TN 37403-2136 | 2006-07-19 |
| 1427084490 | Michael Allen Parker | Nurse Anesthetist, Certified Registered | 1132 Fairmount Ave, Chattanooga, TN 37405-2850 | 2006-06-23 |
| 1427024363 | Cheril M Bailey | Nurse Anesthetist, Certified Registered | 7012 Arbor Leaf Ln, Chattanooga, TN 37421-1969 | 2006-02-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
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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.