MACON COUNTY GENERAL HOSPITAL - ANESTHESIA (NPI# 1275552226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275552226 |
| Entity Type | Organization |
| Organization Name | MACON COUNTY GENERAL HOSPITAL - ANESTHESIA |
| Practice Address |
204 Medical Dr Lafayette TN 37083-1719 |
| Mailing Address |
744 W Michigan Ave Jackson MI 49201-1909 |
| Practice Telephone | 6156662147 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177874146 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS WOLFORD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6156662147 |
| 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 |
204 MEDICAL DR |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858137 | Emcare Physician Providers, Inc. | Emergency Medicine | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-05-16 |
| 1669094918 | Elijah Carter | Registered Nurse | 204 Medical Dr, Lafayette, TN 37083-1719 | 2020-05-09 |
| 1639673965 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 204 Medical Dr, Lafayette, TN 37083-1719 | 2018-03-21 |
| 1811360522 | Botanical Emergency Physicians, LLC | Physician Assistant | 204 Medical Dr, Lafayette, TN 37083-1719 | 2015-11-03 |
| 1851694038 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 204 Medical Dr, Speciality Clinic, Lafayette, TN 37083-1719 | 2010-12-10 |
| 1376718684 | Janet M Skelton | Dietitian, Registered | 204 Medical Dr, Lafayette, TN 37083-1719 | 2008-04-28 |
| 1790835601 | Elizabeth A Walker | Dietitian, Registered | 204 Medical Dr, Lafayette, TN 37083-1719 | 2007-01-11 |
| 1033200852 | Macon Hospital, Inc. | Medicare Defined Swing Bed Unit | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-09-27 |
| 1346264975 | Sycamore Emergency Physicians LLC | Emergency Medicine | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| Find all providers in zip 37083 | ||||
| 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 |
|---|---|---|---|---|
| 1619408192 | Vannasinh Panyanouvong | Nurse Anesthetist, Certified Registered | 107 Young Oak Dr, Lafayette, LA 70507-3205 | 2017-03-25 |
| 1427473230 | Mary Alden Fontenot | Nurse Anesthetist, Certified Registered | 1103 Kaliste Saloom Rd., Suite 304, Lafayette, LA 70508 | 2014-03-03 |
| 1134369374 | Trish Howell Guillot | Nurse Anesthetist, Certified Registered | 112 Cherry Bark Ln, Lafayette, LA 70508-8146 | 2009-02-28 |
| 1487806519 | Belinda Katherine Russo | Nurse Anesthetist, Certified Registered | 118 Karolwood Dr, Lafayette, LA 70503-3505 | 2008-10-21 |
| 1972644979 | Rex Lee Meeker | Nurse Anesthetist, Certified Registered | 11375 Jasper Rd, Lafayette, CO 80026-9627 | 2007-02-11 |
| 1710909445 | August J Rantz IIi | Nurse Anesthetist, Certified Registered | 1101 S College, Ste 100, Lafayette, LA 70503 | 2006-07-24 |
| 1861429540 | Patricia J. Farkas | Nurse Anesthetist, Certified Registered | 309 Asbury Rd, Lafayette, LA 70503-3637 | 2006-06-27 |
| 1750332391 | Jeremy Joseph Boyer | Nurse Anesthetist, Certified Registered | 305 Ambergris Ln, Lafayette, LA 70508-8152 | 2006-05-15 |
| 1427014331 | Stephanie Lynn Preston | Nurse Anesthetist, Certified Registered | 811 S 9th St, Lafayette, IN 47905-5545 | 2006-04-21 |
| 1780655274 | James M Reynolds | Nurse Anesthetist, Certified Registered | 4630 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6949 | 2006-01-31 |
| Find all providers in LAFAYETTE | ||||
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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.