LEVI COLTER BLACK (NPI# 1508185760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508185760 |
| Entity Type | Individual |
| Full Name | LEVI COLTER BLACK |
| Credential | CRNA |
| Practice Address |
201 State Street Erie PA 16550 |
| Mailing Address |
3998 Fair Ridge Dr. Suite 300 Fairfax VA 22033-2921 |
| Practice Telephone | 8148772137 |
| Mailing Telephone | 7032959360 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2015-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA0680 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 528136 | 05 | |
| AZ | 1508185760 | 05 |
| Street Address |
201 STATE STREET |
| City | ERIE |
| State | PA |
| Zip Code | 16550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903253 | Mahmoud I Ismail | Internal Medicine | 201 State Street, Hamot Faculty Specialists, Erie, PA 16550-0002 | 2005-06-22 |
| 1063032233 | Anthony Robert Unger | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-17 |
| 1245869494 | Michael Knoll | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-08 |
| 1326525502 | Leonardo Zingg | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2018-07-20 |
| 1700332434 | Erica S Racedo | Physician Assistant | 201 State Street, Erie, PA 16550 | 2016-09-01 |
| 1780046953 | Katelyn Fuller | Registered Nurse | 201 State Street, Erie, PA 16550 | 2016-03-25 |
| 1982016663 | Vanessa Alia Emdadi Banks | Emergency Medicine | 201 State Street, Upmc Hamot, Erie, PA 16550 | 2014-05-29 |
| 1114289600 | Eric Robert Wildauer | Anesthesiology | 201 State Street, Hamot Medical Center, Erie, PA 16550 | 2012-06-12 |
| 1588981724 | Janet Elaine Friedman | Nurse Anesthetist, Certified Registered | 201 State Street, Erie, PA 16550 | 2010-04-28 |
| 1962736405 | Nicholas M Camera | Physician Assistant | 201 State Street, Erie, PA 16550-0002 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
| 1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
| 1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
| 1679065106 | Jacob Tuttle | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550 | 2018-05-31 |
| 1851882385 | Osvaldo Luis Martinez | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550 | 2018-05-21 |
| 1003306945 | Shannon R Folga | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
| 1982194809 | Sara Elizabeth Wojciechowski | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
| 1639610991 | Casey Seizys | Emergency Medicine | 201 State St, Erie, PA 16550 | 2017-03-19 |
| 1902281934 | Durga Sindhuri Dandu | Internal Medicine | 201 State St, Erie, PA 16550 | 2015-07-20 |
| 1942698097 | Yujin Zhao | Nurse Anesthetist, Certified Registered | 201 State St, Hamot Medical Center, Erie, PA 16550 | 2014-12-23 |
| Find all providers in zip 16550 | ||||
| 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 |
|---|---|---|---|---|
| 1881911071 | Ireatha Lashonda Wardsworth | Nurse Anesthetist, Certified Registered | 1133 East Laske Road, Erie, PA 16507 | 2010-04-27 |
| 1811214349 | Paula Griesacker | Nurse Anesthetist, Certified Registered | 354 Craig St, Erie, PA 16508-2710 | 2010-04-23 |
| 1134144389 | Damon Waldron | Nurse Anesthetist, Certified Registered | 1264 Columbine Way, Erie, CO 80516-2477 | 2006-07-12 |
| 1184658288 | Jay B Huff | Nurse Anesthetist, Certified Registered | 3205 W 38th St, Erie, PA 16506 | 2006-07-11 |
| 1669429098 | Kara J Crannell | Nurse Anesthetist, Certified Registered | 5473 Village Common Dr Ste 100, Erie, PA 16506-4961 | 2006-05-30 |
| 1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
| 1275527160 | Krista L. Glaser | Nurse Anesthetist, Certified Registered | 312 W 25th St, Erie, PA 16502-2624 | 2005-09-07 |
| 1427042720 | Ross P. Mayo | Nurse Anesthetist, Certified Registered | 225 W 25th St, Erie, PA 16502-2703 | 2005-09-01 |
| 1568091627 | Brittany Marie Rogerson | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550-0001 | 2020-04-02 |
| 1972137602 | Sarah Elizabeth Yearwood | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550-0002 | 2020-03-03 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on LEVI COLTER BLACK.
| 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.