ASC ANESTHESIA, PLLC (NPI# 1336509819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336509819 |
| Entity Type | Organization |
| Organization Name | ASC ANESTHESIA, PLLC |
| Practice Address |
4800 S Hazel St Pine Bluff AR 71603-6860 |
| Mailing Address |
Po Box 505338 Saint Louis MO 63150-5388 |
| Practice Telephone | 8705345533 |
| Practice Fax Number | 8705345535 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | SYED SAMAD (OWNER) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| 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 |
4800 S HAZEL ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629030358 | Digestive Care P A | Internal Medicine | 4800 S Hazel St, Pine Bluff, AR 71603-6860 | 2006-04-06 |
| 1679069207 | Ordia Dee Johnson | Internal Medicine | 4800 S Hazel St, Pine Bluff, AR 71603-6860 | 2018-07-06 |
| 1912258005 | Arkansas Medical Center | Preferred Provider Organization | 4800 S Hazel St, Pine Bluff, AR 71603-6860 | 2012-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1174966329 | Jason Bobo | Nurse Anesthetist, Certified Registered | 3302 Shamrock Dr, Pine Bluff, AR 71603-8423 | 2013-04-08 |
| 1861639817 | Jimmy Rex Stocks | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave Ste 2b, Pine Bluff, AR 71603-6957 | 2009-01-13 |
| 1366822058 | Nicholas Holloway | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | 2015-06-08 |
| 1518194828 | Jamie Michelle Williams | Nurse Anesthetist, Certified Registered | 3805 W 28th Ave, Pine Bluff, AR 71603-4774 | 2009-06-12 |
| 1073712782 | Jonathan M Loetscher | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | 2007-07-12 |
| 1659387769 | Charlotte Chapple | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | 2006-07-31 |
| 1962465948 | Johnny F Clendenin Jr. | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900 | 2006-04-10 |
| 1982692760 | Daniel E Ansley | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900 | 2005-10-06 |
| 1548265093 | John W Williams IIi | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | 2005-06-20 |
| 1407851439 | Lori E Cole | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | 2005-06-16 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.