PATRIOT ANESTHESIA LLC (NPI# 1346541869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346541869 |
| Entity Type | Organization |
| Organization Name | PATRIOT ANESTHESIA LLC |
| Practice Address |
1800 W University Blvd Durant OK 74701-3006 |
| Mailing Address |
35907 E County Road 1600 Pauls Valley OK 73075-9070 |
| Practice Telephone | 4059267348 |
| Practice Fax Number | 4052079956 |
| Mailing Telephone | 4059267348 |
| Mailing Fax Number | 4052079956 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | JAMES MARTIN BASHAW (PRESIDENT) |
| Authorized Official Telephone | 4059267348 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
75945 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840449 | Patriot Anesthesia LLC | Anesthesiology | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 | 2017-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PATRIOT ANESTHESIA LLC | 35907 E Cr 1600, Pauls Valley, OK 73075 |
| Street Address |
1800 W UNIVERSITY BLVD |
| City | DURANT |
| State | OK |
| Zip Code | 74701-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720033087 | Neon Clinic Inc | Specialist | 1800 W University Blvd, Durant, OK 74701-3006 | 2006-05-24 |
| 1003375650 | Anesthesia Management Solutions of Oklahoma Pllc | Nurse Anesthetist, Certified Registered | 1800 W University Blvd, Durant, OK 74701-3006 | 2019-03-13 |
| 1285190322 | Nelson Scott Edgeman | Pharmacist | 1800 W University Blvd, Durant, OK 74701-3006 | 2019-02-13 |
| 1306317078 | Sean Phillip Klufa | Nurse Anesthetist, Certified Registered | 1800 W University Blvd, Durant, OK 74701-3006 | 2018-12-06 |
| 1912478769 | Lake Texoma Physician Services, PC | Physician Assistant | 1800 W University Blvd, Durant, OK 74701-3006 | 2018-12-05 |
| 1255830881 | Durant Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1800 W University Blvd, Durant, OK 74701-3006 | 2018-02-09 |
| 1649717091 | Blake Randall Ridgway | Nurse Anesthetist, Certified Registered | 1800 W University Blvd, Durant, OK 74701-3006 | 2017-01-24 |
| 1942654819 | Shawn Idell | Dietitian, Registered | 1800 W University Blvd, Durant, OK 74701-3006 | 2016-04-18 |
| 1780922443 | Krista Danielle Ribera | Nurse Practitioner | 1800 W University Blvd, Durant, OK 74701-3006 | 2013-01-30 |
| 1891039764 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 1800 W University Blvd, Durant, OK 74701-3006 | 2012-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900763 | Texoma Pain Management Specialist Pllc | Anesthesiology | 1400 Bryan Dr, Ste 306, Durant, OK 74701-2156 | 2015-08-31 |
| 1588954259 | Durant Anesthesia Associates | Anesthesiology | 1800 W University Blvd, Durant, OK 74701-3006 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
| 1306229422 | Morgan Vanderlick Quality Pain Management, LLC | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | 2015-07-07 |
| 1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
| 1922341635 | Physician's Acupuncture, LLC | Anesthesiology | 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 | 2013-04-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
| 1538482146 | George Alhaj Md, PC | Anesthesiology | 517 Nw 154th St, Edmond, OK 73013-1154 | 2010-03-10 |
| 1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
| 1851551790 | Shawn Michael Ellis | Anesthesiology | 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 | 2008-06-13 |
| 1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
| Find all providers with the same taxonomy | ||||
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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.