PEC ANESTHESIA LLC (NPI# 1528305208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528305208 |
| Entity Type | Organization |
| Organization Name | PEC ANESTHESIA LLC |
| Practice Address |
1029 Makolu St Ste H Pearl City HI 96782-2890 |
| Mailing Address |
401 Commerce St Ste 600 Nashville TN 37219-2446 |
| Practice Telephone | 8084566420 |
| Mailing Telephone | 6153456900 |
| Mailing Fax Number | 6156917214 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. DAVID W HOLST (PRESIDENT BOARD OF MANAGERS) |
| Authorized Official Telephone | 6153456900 |
| 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 |
| Street Address |
1029 MAKOLU ST STE H |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| 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 |
|---|---|---|---|---|
| 1861844003 | Jeevan Bhatta | Nurse Anesthetist, Certified Registered | 91-1125 Kaileonui St, Ewa Beach, HI 96706-6048 | 2016-07-12 |
| 1821388364 | Michael Kalani Rosskopf | Nurse Anesthetist, Certified Registered | 91-212 Keaalii Way, Ewa Beach, HI 96706-4501 | 2011-04-18 |
| 1558459131 | Fred Charles Host | Nurse Anesthetist, Certified Registered | 2237 Pauoa Rd, Honolulu, HI 96813-1508 | 2006-10-10 |
| 1770688244 | Pamela S Brasher | Nurse Anesthetist, Certified Registered | 640 Ulukahiki Street, Castle Medical Center, Kailua, HI 96734 | 2006-09-13 |
| 1528161635 | Fred O. Foster | Nurse Anesthetist, Certified Registered | 311 Ohua Avenue, #601-a, Honolulu, HI 96815-3647 | 2006-09-06 |
| 1417972845 | Karen Young | Nurse Anesthetist, Certified Registered | 3420 Kuhio Hwy, Lihue, HI 96766-1049 | 2006-07-13 |
| 1306816608 | Dawn M. B. Mccool | Nurse Anesthetist, Certified Registered | 73-1296 Ilau St, Kailua Kona, HI 96740-9333 | 2006-01-26 |
| 1194795526 | Mark S Holland | Nurse Anesthetist, Certified Registered | 25 E Street Ste D1, Hickam, HI 96853-5418 | 2006-01-26 |
| 1902876790 | John W. Dellamanna | Nurse Anesthetist, Certified Registered | #1 Jarret White Ford, Tripler, HI 96578 | 2006-01-24 |
| 1306838370 | Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 4366 Kukui Grove St, Lihue, HI 96766-2006 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
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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.