AUDREY DONNA GHATAS (NPI# 1508960295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508960295 |
| Entity Type | Individual |
| Full Name | AUDREY DONNA GHATAS |
| Credential | CRNA |
| Practice Address |
300 3rd Ave Se Magee MS 39111-3665 |
| Mailing Address |
Po Box 669 Mount Olive MS 39119-0669 |
| Practice Telephone | 6018497173 |
| Practice Fax Number | 6018497353 |
| Mailing Telephone | 6014663601 |
| Mailing Fax Number | 6017979993 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R125620 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00110086 | 05 |
| Street Address |
300 3RD AVE SE |
| City | MAGEE |
| State | MS |
| Zip Code | 39111-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113439 | Jonathan Adam Giangrosso | Registered Nurse | 300 3rd Ave Se, Magee, MS 39111-3665 | 2020-08-08 |
| 1043712045 | Erx LLC | Emergency Medicine | 300 3rd Ave Se, Magee, MS 39111 | 2018-03-06 |
| 1356795827 | Magee Benevolent Association | Clinic/Center | 300 3rd Ave Se, Magee, MS 39111-3665 | 2016-04-20 |
| 1972875110 | Tracie A Abplanalp | Nurse Anesthetist, Certified Registered | 300 3rd Ave Se, Magee, MS 39111-3665 | 2012-02-03 |
| 1982913729 | Jessica April Garner | Nurse Practitioner | 300 3rd Ave Se, Magee, MS 39111-3665 | 2010-09-28 |
| 1902121866 | Magee Benevolent Assn Dba Pediatric Clinic of Magee | Pediatrics | 300 3rd Ave Se, Magee, MS 39111-3665 | 2010-04-05 |
| 1295856755 | Magee Benevoent Association | General Acute Care Hospital | 300 3rd Ave Se, Magee, MS 39111-3665 | 2007-04-03 |
| 1881714236 | Magee Benevolent Association | Psychiatric Unit | 300 3rd Ave Se, Magee, MS 39111-3665 | 2007-03-30 |
| 1396865754 | Magee Benevolent Association | General Acute Care Hospital | 300 3rd Ave Se, Magee, MS 39111-3665 | 2007-03-30 |
| 1073633343 | Magee Benevolent Associatino | General Acute Care Hospital | 300 3rd Ave Se, Magee, MS 39111-3665 | 2007-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669136 | Maxem Health Urgent Care Magee | Clinic/Center | 1529 Highway 49 S, Suite A, Magee, MS 39111 | 2017-06-14 |
| 1427409200 | Ashley Bounds | Specialist/Technologist | 499 Pinewood Dr., Magee, MS 39111 | 2016-06-23 |
| 1053707083 | Dental Group of Magee Pllc | Dentist | 1667 Highway 49s Ste 6, Magee, MS 39111 | 2015-04-07 |
| 1528387859 | Brandi's Hope Community Services | In Home Supportive Care | 720b 3rd Ave Sw, Magee, MS 39111 | 2010-05-26 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1033342688 | Family Health Care Clinic, Inc. | Clinic/Center | 820 Johnson Lockhart Drive North East, Magee, MS 39111 | 2009-08-31 |
| 1043403124 | Charlene William Jones-smith | Speech-Language Pathologist | 193 Colonial Circle, Magee, MS 39111 | 2007-08-22 |
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| 1487878054 | Jack R Magee Jr. | Dentist | 1425 Simpson Highway 49, Magee, MS 39111 | 2007-04-12 |
| 1104945096 | Magee Benevolent Association | Pediatrics | 310 2nd Se St, Magee, MS 39111 | 2007-03-29 |
| Find all providers in zip 39111 | ||||
| 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 |
|---|---|---|---|---|
| 1104919711 | David J Ware II | Nurse Anesthetist, Certified Registered | 100 2nd Street Se, Magee, MS 39111 | 2006-10-02 |
| 1972875110 | Tracie A Abplanalp | Nurse Anesthetist, Certified Registered | 300 3rd Ave Se, Magee, MS 39111-3665 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1457970923 | Sola Medical Services, LLC | Nurse Anesthetist, Certified Registered | 3037 Corder Drive, Corinth, MS 38834-3883 | 2020-04-14 |
| 1770046690 | Brittany Ball | Nurse Anesthetist, Certified Registered | 6232 Vera Ln, Olive Branch, MS 38654-6494 | 2019-04-08 |
| 1285106658 | Brian F Seymour Jr. | Nurse Anesthetist, Certified Registered | 13413 Saint Martin Dr, Ocean Springs, MS 39564-9258 | 2018-12-26 |
| 1174095749 | Emily E Randle | Nurse Anesthetist, Certified Registered | 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 | 2018-12-20 |
| 1194213926 | Justin Michael Coats | Nurse Anesthetist, Certified Registered | 1163 Carriage Dr S, Southaven, MS 38671-2330 | 2018-04-26 |
| 1609314400 | Dale P Hotard IIi | Nurse Anesthetist, Certified Registered | 103 Fairview Dr, Vicksburg, MS 39180-8934 | 2017-02-01 |
| 1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
| 1063873438 | Holder Anesthesia | Nurse Anesthetist, Certified Registered | 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 | 2016-03-14 |
| 1124496906 | Sova Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2734 Lizzie Cv, Southaven, MS 38671-7510 | 2015-09-09 |
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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.