DAVID CARABALLO (NPI# 1356648828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356648828 |
Entity Type | Individual |
Full Name | DAVID CARABALLO |
Credential | CRNA |
Practice Address |
1221 South Dr Mt Pleasant MI 48858-3257 |
Practice Telephone | 9897726700 |
Practice Fax Number | 9897726807 |
Mailing Telephone | 9897726700 |
Mailing Fax Number | 9897726807 |
Enumeration Date | 2011-02-18 |
Last Update Date | 2011-04-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704244370 | MI | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704244370 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENSE | 4704244370 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114253242 | David Orlando Caraballo | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2009-10-24 |
Street Address |
1221 SOUTH DR |
City | MT PLEASANT |
State | MI |
Zip Code | 48858-3257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845072 | Amy Jo Gregory | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-09-09 |
1386254563 | Joseph Yi Zhou | Student in an Organized Health Care Education/Training Program | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-08-03 |
1255850111 | Emergency Physician Associates of Michigan PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2017-09-12 |
1386178457 | Hesham Gayar, Md, PC | Specialist | 1221 South Dr, Morey Cancer Center Radiation Dept, Mt Pleasant, MI 48858-3257 | 2017-04-17 |
1942756325 | Ashley Lynn Mathew | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2016-08-26 |
1639562358 | Kevin Surface | Internal Medicine | 1221 South Dr, Mt Pleasant, MI 48858 | 2015-03-05 |
1285023184 | Mclaren Emergency Services PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2015-01-15 |
1740549179 | Central Michigan Community Hospital Radiation Oncology | Radiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2012-05-04 |
1013235159 | Kyle Gilde | Anesthesiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2010-05-13 |
1366686941 | Mclaren Central Michigan | General Acute Care Hospital | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2009-04-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
Find all providers in zip 48858 |
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 |
---|---|---|---|---|
1679979843 | Sara Mullins Paglio | Nurse Anesthetist, Certified Registered | 735 Coleman Blvd, 210, Mt Pleasant, SC 29464-4064 | 2014-11-14 |
1396790465 | Steve Houston Meek | Nurse Anesthetist, Certified Registered | 1100 South Medical Dr, Mt Pleasant, UT 84647 | 2006-05-24 |
1366980948 | Jill Johnson | Nurse Anesthetist, Certified Registered | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2017-02-03 |
1881037547 | Nina Lewis Dulle | Nurse Anesthetist, Certified Registered | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2013-04-12 |
1811138050 | Elizabeth Hattman Howard | Nurse Anesthetist, Certified Registered | 1200 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3231 | 2009-03-18 |
1417086802 | Tammy Lawler Ivy | Nurse Anesthetist, Certified Registered | 1375 Hospital Dr, Mt Pleasant, SC 29464-3254 | 2007-03-03 |
1659483766 | Leigh S Shoemaker | Nurse Anesthetist, Certified Registered | 1200 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3231 | 2006-08-31 |
1467476424 | Melissa Baumgardner | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mt Pleasant, TX 75455-2371 | 2006-07-26 |
1124040498 | Rebecca P Thomas | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mt Pleasant, TX 75455-2371 | 2006-07-24 |
1144246778 | Donna Goecke | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mt Pleasant, TX 75455-2371 | 2006-07-15 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 48858 |
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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.