IDABEL ANESTHESIA SERVICES LLC (NPI# 1275132532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275132532 |
| Entity Type | Organization |
| Organization Name | IDABEL ANESTHESIA SERVICES LLC |
| Practice Address |
1301 E Lincoln Rd Idabel OK 74745-7300 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 6608265960 |
| Mailing Telephone | 6608265960 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | ROBERT CLEMENS (CEO) |
| Authorized Official Telephone | 6608270492 |
| Authorized Official Credential | MD, PHD |
| 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 |
1301 E LINCOLN RD |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727685 | Raymond W Smith | Radiology | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2005-08-15 |
| 1992360283 | Belmar Physician Services, PC | Physician Assistant | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2019-05-02 |
| 1487219762 | Belmar Emergency Group, PC | Physician Assistant | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2019-05-02 |
| 1336629385 | Mccurtain Memorial Medical Management, Inc. | Medicare Defined Swing Bed Unit | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2018-08-20 |
| 1063900975 | Mccurtain Memorial Medical Management, Inc. | General Acute Care Hospital | 1301 E Lincoln Rd, Idabel, OK 74745 | 2018-04-26 |
| 1881113892 | Sarah Slaton | Speech-Language Pathologist | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2017-09-12 |
| 1679013676 | Ashlei Jobe | Nurse Practitioner | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2017-02-24 |
| 1942671243 | Woven Emergency Physicians, LLC | Emergency Medicine | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2015-10-13 |
| 1235431107 | Little River Emergency Physicians LLC | Emergency Medicine | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2010-11-29 |
| 1750556924 | Sara Ann Collier | Surgery | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2008-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| 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 |
|---|---|---|---|---|
| 1083222137 | Wichita Medical Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3617 W Gore Blvd Ste C, Lawton, OK 73505-6373 | 2020-07-15 |
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1821638727 | Kylie Ann Gross | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext Ste B103, Oklahoma City, OK 73114-7408 | 2020-01-09 |
| 1124473665 | Hernan Aguilos | Nurse Anesthetist, Certified Registered | 1923 S Utica Ave Fl 3, Tulsa, OK 74104-6520 | 2016-05-03 |
| 1093172975 | Audrey Gauthe | Nurse Anesthetist, Certified Registered | 6529 Bent Wood Dr, Oklahoma City, OK 73169-6226 | 2016-01-22 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| 1144697491 | Russell Earl Chandler | Nurse Anesthetist, Certified Registered | 2629 Kadlan Dr, El Reno, OK 73036-9405 | 2015-08-21 |
| 1740664978 | Ariana King | Nurse Anesthetist, Certified Registered | 1924 S Utica Ave, Tulsa, OK 74104-6510 | 2015-07-17 |
| 1548641673 | Atlas Anesthetists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | 3029 West Main, Jenks, OK 74037-3465 | 2015-06-15 |
| 1801277330 | Garry Chapman | Nurse Anesthetist, Certified Registered | 10101 S 94th St W, Oktaha, OK 74450-4735 | 2015-06-10 |
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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.