MR. JERRY SERVILLE (NPI# 1538276456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538276456 |
| Entity Type | Individual |
| Full Name | MR. JERRY SERVILLE |
| Credential | CRNA |
| Practice Address |
140 E Tyler St Suite 100 Longview TX 75601-7214 |
| Practice Telephone | 9032362736 |
| Practice Fax Number | 9032362286 |
| Mailing Telephone | 9032362736 |
| Mailing Fax Number | 9032362286 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 033115 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
140 E TYLER ST SUITE 100 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-7214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689784910 | Tammie Randle | Nurse Anesthetist, Certified Registered | 140 E Tyler St, Suite 100, Longview, TX 75601-7214 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| 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 |
|---|---|---|---|---|
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1104123355 | William W. Burlingame | Nurse Anesthetist, Certified Registered | 1907 Warwick Circle East, Longview, TX 75601-3134 | 2011-02-24 |
| 1306140660 | Boiling Springs Anesthesia LLC | Nurse Anesthetist, Certified Registered | 6580 Judson Rd, Longview, TX 75605-7076 | 2010-12-30 |
| 1841521655 | Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | 718 Hollybrook Dr, Longview, TX 75605-2469 | 2010-01-18 |
| 1699001982 | Crystal Gaile Tucker | Nurse Anesthetist, Certified Registered | 3637 Us Highway 259 N Apt 801, Longview, TX 75605-7780 | 2009-10-22 |
| 1134150600 | John Ryan Mccubbin | Nurse Anesthetist, Certified Registered | 140 Timber Falls Dr, Longview, TX 75605-8277 | 2006-07-05 |
| 1720022338 | Norman Albert Guedry | Nurse Anesthetist, Certified Registered | 104 Michelle Dr, Longview, TX 75605-6150 | 2006-06-15 |
| 1902840515 | Bryan James Chappuis | Nurse Anesthetist, Certified Registered | 17 Stonegate Dr, Longview, TX 75601-3659 | 2006-06-15 |
| 1619963667 | Gregory Hays Harris | Nurse Anesthetist, Certified Registered | 906 Judson Rd, Longview, TX 75601-5113 | 2005-09-26 |
| 1831194885 | David W Maly | Nurse Anesthetist, Certified Registered | 2904 North 4th Street, Lrmc, Longview, TX 75605 | 2005-06-16 |
| Find all providers in LONGVIEW | ||||
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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.