MARION BRAGDON (NPI# 1356325427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356325427 |
| Entity Type | Individual |
| Full Name | MARION BRAGDON |
| Other Name | MARION COSTELLO |
| Credential | CRNA |
| Practice Address |
907 Sumner St Suite M201 Stoughton MA 02072 |
| Practice Telephone | 7813442325 |
| Practice Fax Number | 7813418544 |
| Mailing Telephone | 7813442325 |
| Mailing Fax Number | 7813418544 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2013-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 127086 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RAILROAD MEDICARE | 430026248 | 01 |
| Street Address |
907 SUMNER ST SUITE M201 |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600557 | Roman W Dashawetz | Nurse Anesthetist, Certified Registered | 907 Sumner St, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2005-06-28 |
| 1235584053 | Daniel David King | Nurse Anesthetist, Certified Registered | 907 Sumner St, M201, Stoughton, MA 02072-3374 | 2016-04-29 |
| 1346586690 | Eileen M O'donnell | Nurse Anesthetist, Certified Registered | 907 Sumner St, Suite M201, Stoughton, MA 02072-3378 | 2012-12-13 |
| 1467737817 | William F Kennedy | Nurse Anesthetist, Certified Registered | 907 Sumner St, Suite M201, Stoughton, MA 02072-3374 | 2011-10-18 |
| 1932412269 | Steward Good Samaritan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 907 Sumner St, Suite 205, Stoughton, MA 02072-3374 | 2010-07-15 |
| 1366778870 | Michael Sera | Nurse Anesthetist, Certified Registered | 907 Sumner St, M201, Stoughton, MA 02072-3374 | 2009-10-19 |
| 1598999492 | Susan Lin | Anesthesiology | 907 Sumner St, M201, Stoughton, MA 02072 | 2009-05-06 |
| 1487806600 | Erica E Truscello | Nurse Practitioner | 907 Sumner St, Suite M201, Stoughton, MA 02072 | 2008-10-21 |
| 1326222977 | Francine Deluca-champion | Pediatrics | 907 Sumner St, Suite M102, Stoughton, MA 02072-3374 | 2007-12-18 |
| 1124216072 | Sharon Herman-berreby | Anesthesiology | 907 Sumner St, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| 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 |
|---|---|---|---|---|
| 1164792685 | Maria Clara Vaz | Nurse Anesthetist, Certified Registered | 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | 2012-01-02 |
| 1861508368 | Debra L Espinosa | Nurse Anesthetist, Certified Registered | 907 Sumner Street, M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | 2006-08-21 |
| 1912934027 | Donna M Pierce | Nurse Anesthetist, Certified Registered | 225 Plain Drive, C/o Ma Anesthesia Corp., Stoughton, MA 02072 | 2006-06-26 |
| 1982680484 | Diane P Mccabe | Nurse Anesthetist, Certified Registered | 907 Sumner St M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | 2005-12-16 |
| 1780677716 | Sandra C Darling | Nurse Anesthetist, Certified Registered | 907 Sumner Street M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | 2005-08-24 |
| 1629077516 | Janet C Paninski | Nurse Anesthetist, Certified Registered | 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 | 2005-07-21 |
| 1982600557 | Roman W Dashawetz | Nurse Anesthetist, Certified Registered | 907 Sumner St, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2005-06-28 |
| 1235584053 | Daniel David King | Nurse Anesthetist, Certified Registered | 907 Sumner St, M201, Stoughton, MA 02072-3374 | 2016-04-29 |
| 1568860187 | Jacob Heeter | Nurse Anesthetist, Certified Registered | 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | 2014-12-13 |
| 1346586690 | Eileen M O'donnell | Nurse Anesthetist, Certified Registered | 907 Sumner St, Suite M201, Stoughton, MA 02072-3378 | 2012-12-13 |
| Find all providers in STOUGHTON | ||||
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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.