JOHN FITZGIBBON MEMORIAL HOSPITAL INC. (NPI# 1386758654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386758654 |
| Entity Type | Organization |
| Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL INC. |
| Other Organization Name | FITZGIBBON ANESTHESIA GROUP |
| Practice Address |
2305 S Highway 65 Marshall MO 65340-3702 |
| Mailing Address |
400 E 10th St Waconia MN 55387-4552 |
| Practice Telephone | 6608867431 |
| Mailing Telephone | 9524429770 |
| Mailing Fax Number | 9524423620 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | NANCY HARRIS (CFO) |
| Authorized Official Telephone | 6608867431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS OF MO-FEDERAL | 215045 | 01 |
| MO | BLUE CROSS OF KANSAS CITY | 00617033 | 01 |
| MO | 501547608 | 05 |
| Other Name | Type Code |
|---|---|
| Fitzgibbon Anesthesia Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182478 | John Fitzgibbon Memorial Hospital Inc. | General Acute Care Hospital | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2005-05-26 |
| 1952611436 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 420 West Front Street, Slater, MO 65349-1328 | 2010-10-18 |
| 1285650176 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-14 |
| Street Address |
2305 S HIGHWAY 65 |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053389585 | Ross M. Howitt | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-03-10 |
| 1013480979 | Angela L Woods | Nurse Practitioner | 2305 S Highway 65, Marshall, MO 65340-3702 | 2019-01-03 |
| 1972026151 | Rebecca Pence | Nurse Practitioner | 2305 S Highway 65, Marshall, MO 65340-3702 | 2017-07-19 |
| 1245596360 | Leslie Renee Hesse | Dietitian, Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2012-04-03 |
| 1861608192 | Jason E Gault | Surgery | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-05-15 |
| 1215059985 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-04-04 |
| 1871643601 | Marshall Radiology Service PC | Radiology | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-01-12 |
| 1124071329 | Marshall Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1497797237 | Stanley C Crawford | Nurse Anesthetist, Certified Registered | 9742 Fm 2625 E, Marshall, TX 75672-4099 | 2006-06-12 |
| 1053389585 | Ross M. Howitt | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-03-10 |
| 1720594062 | Kaci Rainey | Nurse Anesthetist, Certified Registered | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-12-22 |
| 1467968925 | Daniel Thomas Offerdahl | Nurse Anesthetist, Certified Registered | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-12-20 |
| 1205216330 | Lisa Danielle-howell Arnold | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068 | 2015-06-03 |
| 1619268067 | Annie Marie Molseed | Nurse Anesthetist, Certified Registered | 300 S Bruce St, Marshall, MN 56258-1934 | 2011-04-20 |
| 1336444041 | Howard Lee Drews IIi | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068-1143 | 2011-01-12 |
| 1174672521 | Ella E M Brown Charitable Circle | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068-1143 | 2007-01-08 |
| 1710087531 | Ronald A Gauthier | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068-1143 | 2006-09-22 |
| 1538269352 | Rick Gorham | Nurse Anesthetist, Certified Registered | 200 N Madison St, Marshall, MI 49068-1143 | 2006-09-22 |
| Find all providers in MARSHALL | ||||
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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.