STEPHANIE M DAMITIO (NPI# 1447585435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447585435 |
| Entity Type | Individual |
| Full Name | STEPHANIE M DAMITIO |
| Credential | C.R.N.A |
| Practice Address |
15190 Community Rd Ste 230a Gulfport MS 39503-3483 |
| Practice Telephone | 2288310204 |
| Practice Fax Number | 2288311868 |
| Mailing Telephone | 2288310204 |
| Mailing Fax Number | 2288311868 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R876698 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE NUMBER | R877698 | 01 |
| Street Address |
15190 COMMUNITY RD STE 230A |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386759835 | Charles M. Lobrano | Anesthesiology | 15190 Community Rd Ste 230a, Gulfport, MS 39503-3483 | 2006-08-21 |
| 1205941747 | Ronald P. Bernadas | Anesthesiology | 15190 Community Rd Ste 230a, Gulfport, MS 39503-3483 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| 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 |
|---|---|---|---|---|
| 1548696925 | Gulf Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 12504 Windance Dr, Gulfport, MS 39503-7780 | 2013-09-17 |
| 1043288541 | Glen Michael Cavalier | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-03-09 |
| 1427047497 | Karla Marie Atchley | Nurse Anesthetist, Certified Registered | 15124 Haven Cv, Gulfport, MS 39503-3877 | 2005-10-20 |
| 1083265185 | Trinh Thu Weatherly | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2569 | 2019-09-20 |
| 1417400896 | David N Johnston Jr. | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-08-02 |
| 1356747422 | Shelly Meiners | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2014-11-17 |
| 1972936219 | Jenna Plaisance Marciante | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503 | 2013-08-09 |
| 1528300324 | Stephanie Parks | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2013-03-20 |
| 1215217013 | Jonathan Blake Benefield | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2011-08-24 |
| 1043522444 | Julie K Klester | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 | 2010-07-14 |
| Find all providers in GULFPORT | ||||
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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.