SONGBIRD ANESTHESIA INC (NPI# 1386161099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386161099 |
| Entity Type | Organization |
| Organization Name | SONGBIRD ANESTHESIA INC |
| Practice Address |
1600 N Summer Ridge Ct St Augustine FL 32092-3767 |
| Practice Telephone | 9045351875 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | MR. RUDOLPH PAVLESICH (PRESIDENT) |
| Authorized Official Telephone | 9045351875 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9178468 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SONGBIRD ANESTHESIA INC | 4497 Fern Creek Dr, Jacksonville, FL 32277-1103 |
| Street Address |
1600 N SUMMER RIDGE CT |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| 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 |
|---|---|---|---|---|
| 1093784522 | Francis M Mcclarnon | Nurse Anesthetist, Certified Registered | 1400 Hwy Us 1 S, St Augustine, FL 32084-2411 | 2006-03-16 |
| 1699743120 | Ronald J Howes | Nurse Anesthetist, Certified Registered | 709 Pinehurst Pl, St Augustine, FL 32080-5813 | 2006-03-10 |
| 1073510590 | Lucia Webster | Nurse Anesthetist, Certified Registered | 413 Ocean Grove Cir, St Augustine, FL 32080-8722 | 2005-06-30 |
| 1639709173 | Keith Latasiewicz | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-01-23 |
| 1649787326 | Spencer Jonathan Garrison | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2018-01-04 |
| 1942624374 | Kimberly Salvato | Nurse Anesthetist, Certified Registered | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2014-02-05 |
| 1205122777 | Rebekah French Walker | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2011-06-23 |
| 1205010394 | Ryan Alan Rutledge | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, Lighthouse Anesthesiology Consultants, St Augustine, FL 32086-5784 | 2007-12-25 |
| 1962602003 | First Coast Anesthesia Consultants Pa | Nurse Anesthetist, Certified Registered | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2007-07-18 |
| 1801927207 | Elaine Militello | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2007-03-08 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.