MONTGOMERY ANESTHESIA, LLC (NPI# 1487177739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487177739 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY ANESTHESIA, LLC |
| Practice Address |
2752 Zelda Rd Montgomery AL 36106-2694 |
| Mailing Address |
1a Burton Hills Blvd Nashville TN 37215-6187 |
| Practice Telephone | 3342709677 |
| Practice Fax Number | 3342130622 |
| Mailing Telephone | 6152403809 |
| Mailing Fax Number | 6152341809 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | PHILLIP CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | MONTGOMERY ANESTHESIA, LLC | 2752 Zelda Road, Montgomery, AL 36106-2694 |
| Street Address |
2752 ZELDA RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868399 | Prescription Eyewear Inc. | Eyewear Supplier (Equipment, not the service) | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2005-08-11 |
| 1659650778 | Katherine Jackson Donnithorne | Ophthalmology | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2011-08-07 |
| 1629384326 | Oliver Faulkner | Technician/Technologist | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2010-08-19 |
| 1720288632 | Montgomery Eye Physicians | Optometrist | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2007-07-19 |
| 1053510933 | Montgomery Eye Surgery Center LLC | Clinic/Center | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2007-07-12 |
| 1871791897 | Montgomery Eye Physicians PC | Ophthalmology | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2007-07-11 |
| 1457331274 | Montgomery Eye Surgery Center LLC | Clinic/Center | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2006-01-18 |
| 1013992239 | Tom L Mitchell Jr. | Ophthalmology | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2005-12-09 |
| 1336124742 | John L Swan II | Ophthalmology | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2005-12-08 |
| 1245215656 | In C Shin | Ophthalmology | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2005-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 |
|---|---|---|---|---|
| 1659816312 | Eric Griesheimer | Nurse Anesthetist, Certified Registered | 9924 Forestglen Dr, Montgomery, OH 45242-5116 | 2017-01-04 |
| 1689129504 | Bkt Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 44 Market Plz, 304, Montgomery, AL 36104-3943 | 2016-08-20 |
| 1326224221 | Todd L Hicks | Nurse Anesthetist, Certified Registered | 8600 Lenox Way, Montgomery, AL 36116-6641 | 2008-01-10 |
| 1093852329 | Max Blane Bullen | Nurse Anesthetist, Certified Registered | Bapitist Medical Center South,2105 East South Boulevard, Montgomery, AL 38111-0010 | 2007-01-30 |
| 1730240276 | Kimberly Rae Latham | Nurse Anesthetist, Certified Registered | Premier Anesthesia-baptist Hospital East, 400 Taylor Road, Montgomery, AL 36617 | 2006-12-12 |
| 1285748855 | Debra Kay Chevalier | Nurse Anesthetist, Certified Registered | 168 April Waters Dr N, Montgomery, TX 77356-5886 | 2006-08-19 |
| 1376577429 | Kathy A Beck | Nurse Anesthetist, Certified Registered | 2752 Zelda Road, Montgomery, AL 36106-2699 | 2006-07-11 |
| 1881639300 | Bryce Leon Rockman | Nurse Anesthetist, Certified Registered | 4028 Meredith Dr, Montgomery, AL 36109-2343 | 2006-06-18 |
| 1902858640 | Alton Rance Wiggins | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2006-05-17 |
| 1477510089 | Laura A. Griffin | Nurse Anesthetist, Certified Registered | 470 Taylor Road, Montgomery, AL 36117-3563 | 2006-04-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.