NORTHEAST TENNESEE ANESTHESIA PLLC


Address: 10461 Wallace Alley Drive, Kingsport, TN 37663-3936
Phone: 4232791414

NORTHEAST TENNESEE ANESTHESIA PLLC (NPI# 1437436102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437436102
Entity Type Organization
Organization Name NORTHEAST TENNESEE ANESTHESIA PLLC
Practice Address 10461 Wallace Alley Drive
Kingsport
TN 37663-3936
Practice Telephone 4232791414
Practice Fax Number 4232791410
Mailing Telephone 4232791414
Mailing Fax Number 8433574940
Enumeration Date 2011-11-09
Last Update Date 2018-12-05
Authorized Official Name DR. JEFFREY P FENYVES (OWNER PARTNER)
Authorized Official Telephone 4232791400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10461 WALLACE ALLEY DRIVE
City KINGSPORT
State TN
Zip Code 37663-3936

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649528126 Northland Hearing Centers, Inc. Hearing Instrument Specialist 1567 North Eastman Road, Kingsport, TN 37663 2012-08-15
1548546419 Vickie R Harris Counselor 317 Pitt Road, Kingsport, TN 37663 2011-10-24
1467746446 Eric A. Echard Dentist 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 2011-06-07
1619003399 Colonial Heights Pharmacy, Inc. Pharmacy 4221 Ft. Henry Drive, Kingsport, TN 37663 2007-02-26
1316005986 Robert F Mcamis Jr. Dentist 4016 Fort Henry Drive, Kingsport, TN 37663 2006-12-05
1467567412 Colonial Heights Dental Assocaites Dentist 150 Clinic Drive, Suite A, Kingsport, TN 37663 2006-08-20
1194777953 Nicholas Brett Smith Family Medicine 4600 Fort Henry Dr, Kingsport, TN 37663 2006-05-17
1396720108 Resp-i-care, Inc. Durable Medical Equipment & Medical Supplies 648 Eastern Star Rd, Kingsport, TN 37663 2005-12-14
1023000429 Darryl Fontaine Anesthesiology 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 2005-08-22
1659701696 Jordan Burke Physician Assistant 4600 Fort Henry Dr, Kingsport, TN 37663 2013-11-12
Find all providers in zip 37663

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124440128 Russell Edward Proffitt Nurse Anesthetist, Certified Registered 2601 N John B Dennis Hwy, Apt. 1001, Kingsport, TN 37660-0812 2014-01-09
1194162966 Teddy Harmon Davis Nurse Anesthetist, Certified Registered 2204 Pavilion Dr Ste 300, Kingsport, TN 37660-4653 2013-06-03
1366716136 Lindsey B Jones Nurse Anesthetist, Certified Registered 2204 Pavilion Dr # Dr300, Kingsport, TN 37660-4657 2012-02-27
1336444231 David J Arrowood Nurse Anesthetist, Certified Registered 13 W Ravine Rd, Kingsport, TN 37660-3831 2011-01-24
1245466721 John P Geaslin Nurse Anesthetist, Certified Registered 135 W. Ravine Rd - Ste 5-b, Kingsport, TN 37660-3847 2009-06-10
1972741296 Beth Mcelwee Faust Nurse Anesthetist, Certified Registered 1908 Granby Rd, Kingsport, TN 37665 2009-01-23
1922072990 Daniel Kris Guinn Nurse Anesthetist, Certified Registered 135 W Ravine, Suite 5-b, Kingsport, TN 37660-3847 2006-02-15
1487637484 Janice Carol Redmond Nurse Anesthetist, Certified Registered 2116 Memorial Ct, Kingsport, TN 37664-2629 2005-11-22
1205825528 Carol Ann Brown Nurse Anesthetist, Certified Registered 2000 Brookside Dr, Kingsport, TN 37660 2005-10-19
1265428734 Jared Y Robertson IIi Nurse Anesthetist, Certified Registered 3029 Wandering Dr, Kingsport, TN 37660-8758 2005-09-21
Find all providers in KINGSPORT

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City KINGSPORT
Zip Code 37663

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Dataset Information

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.

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