AMSURG HERMITAGE ANESTHESIA, LLC (NPI# 1538583042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538583042 |
| Entity Type | Organization |
| Organization Name | AMSURG HERMITAGE ANESTHESIA, LLC |
| Practice Address |
5653 Frist Blvd Suite 532 Hermitage TN 37076-2062 |
| Mailing Address |
1a Burton Hills Blvd Attn: Provider Enrollment Nashville TN 37215-6187 |
| Practice Telephone | 6153163066 |
| Mailing Telephone | 6152403809 |
| Mailing Fax Number | 6152341809 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| 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 |
5653 FRIST BLVD SUITE 532 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425203 | Cathy A Deppen | Obstetrics & Gynecology | 5653 Frist Blvd, Ste 738, Hermitage, TN 37076-2066 | 2005-05-23 |
| 1821523598 | Elizabeth Anne Hinton | Nurse Practitioner | 5653 Frist Blvd, Suite 330, Hermitage, TN 37076-2062 | 2017-05-01 |
| 1922531482 | Frank Daniel Vann | Family Medicine | 5653 Frist Blvd, Hermitage, TN 37076-2062 | 2017-04-11 |
| 1992241343 | Pinnacle Spine Specialists Pllc | Neurological Surgery | 5653 Frist Blvd, Suite 731, Hermitage, TN 37076-2062 | 2017-01-10 |
| 1396144754 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2062 | 2014-08-21 |
| 1790113595 | Kameela E Williams-jackson | Nurse Practitioner | 5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2062 | 2013-10-15 |
| 1699115154 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5653 Frist Blvd, Ste 731, Hermitage, TN 37076 | 2013-06-28 |
| 1720340193 | Frank Kurzynske | Internal Medicine | 5653 Frist Blvd, Suite 236, Hermitage, TN 37076-2062 | 2012-06-12 |
| 1992070452 | Ashley E Myatt | Physician Assistant | 5653 Frist Blvd, Suite 731, Hermitage, TN 37076-2062 | 2012-03-16 |
| 1508136540 | Festus O Imasuen | Marriage & Family Therapist | 5653 Frist Blvd, Suite 740, Hermitage, TN 37076-2062 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| 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 |
|---|---|---|---|---|
| 1427585892 | Crystal Koss | Nurse Anesthetist, Certified Registered | 5653 Frist Blvd Ste 532, Hermitage, TN 37076-2067 | 2017-05-17 |
| 1447449590 | G & P Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3041 Innovation Way, Hermitage, PA 16148-7905 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1831702372 | Chinoyerem Anayo Oji | Nurse Anesthetist, Certified Registered | 2674 New Port Royal Rd, Thompsons Station, TN 37179-5341 | 2020-08-25 |
| 1134765332 | Brennan Mountz | Nurse Anesthetist, Certified Registered | 774 Iris Dr, Sparta, TN 38583-2459 | 2019-11-22 |
| 1760954242 | Ndemafia Tung | Nurse Anesthetist, Certified Registered | 1 Williamsburg Dr Apt 614, Hendersonville, TN 37075-5782 | 2018-12-21 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1679058929 | Bristol Computer Services, Inc. | Nurse Anesthetist, Certified Registered | 3185 W State St Ste 2020, Bristol, TN 37620-1600 | 2018-10-02 |
| 1295241495 | Darren Alex Watson | Nurse Anesthetist, Certified Registered | 744 Blount Cir, Rutledge, TN 37861-5713 | 2017-12-26 |
| 1710499561 | Legacy Anesthesia | Nurse Anesthetist, Certified Registered | 12186 Paw Paw Plains Rd, Lenoir City, TN 37771-3510 | 2017-11-02 |
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1215469416 | Victoria Peacock | Nurse Anesthetist, Certified Registered | 6455 Poplar Ave, Apt 302, Memphis, TN 38119-4875 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMSURG HERMITAGE ANESTHESIA, LLC.
| 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.