BROCK J AMOS (NPI# 1295807717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295807717 |
| Entity Type | Individual |
| Full Name | BROCK J AMOS |
| Credential | CRNA |
| Practice Address |
1615 Delaware St Longview WA 98632-2367 |
| Mailing Address |
1115 Se 164th Ave Dept. 358 Vancouver WA 98683-9324 |
| Practice Telephone | 3604142000 |
| Practice Fax Number | 3604147638 |
| Mailing Telephone | 3607291462 |
| Mailing Fax Number | 3607293104 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP60410232 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | G8937842 | 05 | |
| WA | 2038923 | 05 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1629681127 | Cole Taylor Dawson | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2020-08-25 |
| 1760008908 | Tanya Neely | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-23 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1982227013 | Crystal Ann Florek | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-05-22 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1285274167 | Jason Loren Whitney | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-01-08 |
| 1851857676 | Garrett Michael Alan Harrison | Case Manager/Care Coordinator | 1615 Delaware St, Longview, WA 98632-2367 | 2019-02-17 |
| 1184192189 | Katie Johnson | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2018-11-07 |
| 1750864187 | Brina Rayne Moh | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1104123355 | William W. Burlingame | Nurse Anesthetist, Certified Registered | 1907 Warwick Circle East, Longview, TX 75601-3134 | 2011-02-24 |
| 1306140660 | Boiling Springs Anesthesia LLC | Nurse Anesthetist, Certified Registered | 6580 Judson Rd, Longview, TX 75605-7076 | 2010-12-30 |
| 1841521655 | Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | 718 Hollybrook Dr, Longview, TX 75605-2469 | 2010-01-18 |
| 1699001982 | Crystal Gaile Tucker | Nurse Anesthetist, Certified Registered | 3637 Us Highway 259 N Apt 801, Longview, TX 75605-7780 | 2009-10-22 |
| 1538276456 | Jerry Serville | Nurse Anesthetist, Certified Registered | 140 E Tyler St, Suite 100, Longview, TX 75601-7214 | 2006-08-24 |
| 1134150600 | John Ryan Mccubbin | Nurse Anesthetist, Certified Registered | 140 Timber Falls Dr, Longview, TX 75605-8277 | 2006-07-05 |
| 1720022338 | Norman Albert Guedry | Nurse Anesthetist, Certified Registered | 104 Michelle Dr, Longview, TX 75605-6150 | 2006-06-15 |
| 1902840515 | Bryan James Chappuis | Nurse Anesthetist, Certified Registered | 17 Stonegate Dr, Longview, TX 75601-3659 | 2006-06-15 |
| 1619963667 | Gregory Hays Harris | Nurse Anesthetist, Certified Registered | 906 Judson Rd, Longview, TX 75601-5113 | 2005-09-26 |
| Find all providers in LONGVIEW | ||||
Please comment or provide details below to improve the information on BROCK J AMOS.
| 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.