MARSHALL MEDICAL CENTER SOUTH (NPI# 1497269799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497269799 |
| Entity Type | Organization |
| Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Other Organization Name | CRNA PROFESSIONAL SERVICES |
| Practice Address |
2505 Us Highway 431 Boaz AL 35957-5908 |
| Mailing Address |
227 Brittany Rd Guntersville AL 35976-5766 |
| Practice Telephone | 2565938310 |
| Practice Fax Number | 2568403647 |
| Mailing Telephone | 2568946600 |
| Mailing Fax Number | 2568946731 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. KATHY NELSON (CFO) |
| Authorized Official Telephone | 2568946701 |
| 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 |
| Other Name | Type Code |
|---|---|
| CRNA Professional Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8000 Al Highway 69, Guntersville, AL 359767140 | 2565718000 | 2565718004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003136896 | Marshall Medical Center South | Surgery | 133 Wall St, Albertville, AL 35951-9300 | 2010-06-03 |
| 1861663874 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Hwy 431n, Boaz, AL 35957-0758 | 2008-03-18 |
| 1306914882 | Marshall Medical Center South | General Acute Care Hospital | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 | 2006-12-01 |
| 1780776633 | Marshall Medical Center South | Otolaryngology | 704 Medical Center Parkway, Boaz, AL 35957 | 2006-09-29 |
| 1538511340 | Marshall Medical Center South | Internal Medicine | 11491 Us Highway 431, Albertville, AL 35950-0136 | 2016-07-05 |
| 1962824441 | Marshall Medical Center South | Orthopaedic Surgery | 38 Rowe Dr, Guntersville, AL 35976-7367 | 2014-01-17 |
| 1760765028 | Marshall Medical Center South | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957 | 2011-09-23 |
| 1356657357 | Marshall Medical Center South | Radiology | 2505 Us Highway 431, Boaz, AL 35957 | 2010-08-27 |
| 1639321789 | Marshall Medical Center South | Obstetrics & Gynecology | 2525 Us Highway 431, 210, Boaz, AL 35957-5934 | 2008-10-21 |
| 1992967772 | Marshall Medical Center South | Family Medicine | 2505 Us Hwy 431 N, Boaz, AL 35957 | 2008-07-02 |
| Street Address |
2505 US HIGHWAY 431 |
| City | BOAZ |
| State | AL |
| Zip Code | 35957-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283082 | Kenneth Wayne Langley | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2005-08-23 |
| 1104447556 | Stephanie Fowler | Registered Nurse | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2020-04-27 |
| 1811535065 | Christopher Gray Gulledge | Registered Nurse | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-12-18 |
| 1104486067 | Kelsey Tucker Geer | Nurse Practitioner | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-06-13 |
| 1407313760 | Hh Health System - Marshall LLC | General Acute Care Hospital | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-02-22 |
| 1215494638 | Christina Leshay Walker | Registered Nurse | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-02-21 |
| 1417411281 | Elizabeth Darinda Lamm | Physical Therapy Assistant | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-01-25 |
| 1346714243 | Molley Eagle | Registered Nurse | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2019-01-14 |
| 1003353855 | Anna Ashley Allen | Nurse Practitioner | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2017-01-31 |
| 1467900605 | Skylar Faith Wilson | Nurse Practitioner | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2016-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
| 1942831169 | Kayleigh Danielle Eller | Student in an Organized Health Care Education/Training Program | 147 Stephans Road, Boaz, AL 35957 | 2020-01-27 |
| 1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
| 1649516659 | Tiffany Brown Butler | Nurse Practitioner | 2505 U.S. Highway 431, Boaz, AL 35957 | 2012-12-19 |
| 1811263270 | Abundant Life Family Chiropractic LLC | Chiropractor | 100 Bel Air St, Boaz, AL 35957 | 2012-03-29 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1407028368 | Brenda J Parrish | Nurse Practitioner | 2505highway 431, Boaz, AL 35957 | 2008-03-31 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1558418426 | Gideon P Ewing | Internal Medicine | 2505 Highway 431, Boaz, AL 35957 | 2007-01-04 |
| Find all providers in zip 35957 | ||||
| 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 |
|---|---|---|---|---|
| 1861663874 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Hwy 431n, Boaz, AL 35957-0758 | 2008-03-18 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1841283082 | Kenneth Wayne Langley | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2005-08-23 |
| 1396883476 | Gregory Don Miller | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957 | 2007-02-02 |
| 1669510210 | Ginger Roden Taylor | Nurse Anesthetist, Certified Registered | 2505 Us Hwy 431, Boaz, AL 35957 | 2007-02-02 |
| 1184618670 | Joy Rotton Bolt | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2005-09-12 |
| 1417942830 | Jennifer Lynn Wilborn | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Mmcs Anesthesia, Boaz, AL 35957-5908 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1740838820 | Kristi Kell Falco | Nurse Anesthetist, Certified Registered | 200 Broad St # 300, Gadsden, AL 35901-3754 | 2019-08-31 |
| 1013570803 | Amber Lynne Denaburg | Nurse Anesthetist, Certified Registered | 261 County Road 1403, Cullman, AL 35058-0596 | 2019-04-17 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1366906521 | Tanner Medical Center Alabama Inc | Nurse Anesthetist, Certified Registered | 1032 Main St S, Wedowee, AL 36278-7440 | 2019-01-22 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
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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.