NATHAN R BROADBENT (NPI# 1538422290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422290 |
| Entity Type | Individual |
| Full Name | NATHAN R BROADBENT |
| Credential | CRNA |
| Practice Address |
500 Sw Ramsey Ave Grants Pass OR 97527-5543 |
| Mailing Address |
2620 E Barnett Rd Ste H Medford OR 97504-8383 |
| Practice Telephone | 5414727267 |
| Practice Fax Number | 8122370182 |
| Mailing Telephone | 5417894281 |
| Mailing Fax Number | 5417895538 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 201407290CRNA | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN 9299572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 SW RAMSEY AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203260 | Randall Currier | Family Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2005-05-31 |
| 1407499890 | Elizabeth Gayle Dupeez | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-10-18 |
| 1225679582 | Brooke Sager | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-10-07 |
| 1558911727 | Kathy Chong | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-09-18 |
| 1194375444 | Timothy Alan Smith | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-09-18 |
| 1336798420 | Sahar Tashakor | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-09-10 |
| 1275182602 | Kevin Joy | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-09-09 |
| 1952950339 | Janice Czech Egan | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-09-09 |
| 1720636574 | Kelsey Nicole Balcita | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-08-26 |
| 1619432887 | Mitchell Lee Lienemann | Pharmacist | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1588815138 | Dorian E Fowler | Nurse Anesthetist, Certified Registered | 881 Kendall Dr, Grants Pass, OR 97527-5456 | 2008-10-01 |
| 1619272788 | Ralph L Luellen IIi | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2011-01-20 |
| 1134371503 | Scott W Rigdon | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2008-10-16 |
| 1710159082 | Jonathan Edwin Jenson | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2008-03-27 |
| 1447389556 | Keith Andrew Jensen | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1265561377 | Matthew Allyn Fagert | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1053440172 | Thomas R Leblanc | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey, Grants Pass, OR 97527 | 2007-03-05 |
| 1851420970 | John H Smith | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1770649014 | Kevin W Field | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-12-29 |
| 1659437903 | Phillip A Solar | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-12-29 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.