MR. LARRY D. CORN JR. (NPI# 1386738227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386738227 |
| Entity Type | Individual |
| Full Name | MR. LARRY D. CORN JR. |
| Credential | CRNA |
| Practice Address |
225 Medical Center Dr Suite 308 Paducah KY 42003-7914 |
| Practice Telephone | 2704414750 |
| Practice Fax Number | 2704414770 |
| Mailing Telephone | 2704414750 |
| Mailing Fax Number | 2704414770 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4807A | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 000000382985 | 01 | |
| KY | 74422460 | 05 | |
| RAILROAD MEDICARE | P00292523 | 01 |
| Street Address |
225 MEDICAL CENTER DR SUITE 308 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731081 | Kenneth Wayne Edmisson Jr. | Nurse Practitioner | 225 Medical Center Dr, #405, Paducah, KY 42003-7914 | 2005-06-26 |
| 1386190742 | Brittany Edwards-king | Registered Nurse | 225 Medical Center Dr, Suite 405, Paducah, KY 42003-7914 | 2016-08-26 |
| 1689022964 | Kyle Andrew Thweatt | Registered Nurse | 225 Medical Center Dr, Suite 405, Paducah, KY 42003-7914 | 2016-05-27 |
| 1780030007 | Rebecca Caldwell | Dietitian, Registered | 225 Medical Center Dr, Suite 304, Paducah, KY 42003-7914 | 2016-05-05 |
| 1215390117 | Karen Smith | Nurse Practitioner | 225 Medical Center Dr, Paducah, KY 42003-7914 | 2016-03-30 |
| 1033577564 | Deena Delynne Carrico | Nurse Practitioner | 225 Medical Center Dr, Suite 101, Paducah, KY 42003-7914 | 2016-01-28 |
| 1346606860 | Regina Dawn Wilkerson | Nurse Practitioner | 225 Medical Center Dr, Suite 402, Paducah, KY 42003-7914 | 2016-01-13 |
| 1306217120 | Valerie Danielle Smith | Nurse Practitioner | 225 Medical Center Dr, Suite 101, Paducah, KY 42003-7914 | 2015-10-20 |
| 1154716280 | Andrea Bazzell | Nurse Practitioner | 225 Medical Center Dr, Suite 101, Paducah, KY 42003-7914 | 2015-04-06 |
| 1407296999 | Alex W Wright | Family Medicine | 225 Medical Center Dr, Suite 304, Paducah, KY 42003-7914 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1861992885 | West Kentucky Anesthesia Associates | Nurse Anesthetist, Certified Registered | 201 Hunting Crk, Paducah, KY 42003-8762 | 2018-02-16 |
| 1316191646 | James D Durbin | Nurse Anesthetist, Certified Registered | 2507 Broadway St, Paducah, KY 42001-3124 | 2008-11-13 |
| 1891752689 | Thelma Oestreich Hettler | Nurse Anesthetist, Certified Registered | 225 Medical Center Dr Ste 405, Paducah, KY 42003-7914 | 2006-04-27 |
| 1013523927 | Eben Jordan Linder | Nurse Anesthetist, Certified Registered | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2020-09-17 |
| 1619580420 | Leslie Renee Beaudrie | Nurse Anesthetist, Certified Registered | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2020-08-31 |
| 1265044044 | William Kory Oliver | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-21 |
| 1093355448 | Peyton Diane Englert | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-01-14 |
| 1902373772 | Apex Anesthesia Partners, Pllc | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2018-10-30 |
| 1457876658 | Alexandra Antonia Maynard | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2017-08-08 |
| 1467977678 | Kristen Paige Carper | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2017-08-08 |
| Find all providers in PADUCAH | ||||
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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.