MARY DEETER (NPI# 1558693499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693499 |
| Entity Type | Individual |
| Full Name | MARY DEETER |
| Credential | CRNA |
| Practice Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4192283335 |
| Practice Fax Number | 4199984514 |
| Mailing Telephone | 4192265018 |
| Mailing Fax Number | 4199984514 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.11329-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | NA11329 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3031954 | 05 |
| Street Address |
1001 BELLEFONTAINE AVE |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144732 | Lima Memorial Joint Operating Company | General Acute Care Hospital | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2005-06-14 |
| 1669094132 | Carol Ann Bryant | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-05-07 |
| 1760018626 | Sirena Renee Kitz | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-03-22 |
| 1558996470 | Brittany Nichole Zeigler | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-03-11 |
| 1043841000 | Emily H Burns | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-01-29 |
| 1417596644 | Kristina Rosenbaum | Pharmacist | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-01-06 |
| 1437793387 | Carrie Anne Greene | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-11-04 |
| 1730722133 | Jessica M Schierloh | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-10-18 |
| 1831742576 | Rebecca Lynn Frank | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-07-22 |
| 1326507781 | Brittany Norman | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1073934634 | Timothy Keener | Nurse Anesthetist, Certified Registered | 2923 Lilly Dr, Lima, OH 45807-1316 | 2013-12-30 |
| 1578745568 | The Endoscopy Center of West Central Ohio, LLC | Nurse Anesthetist, Certified Registered | 2793 Shawnee Road, Lima, OH 45806 | 2007-11-30 |
| 1407919335 | Robert F Davis | Nurse Anesthetist, Certified Registered | 121 W High St, 5th Floor, Lima, OH 45801-4308 | 2006-12-19 |
| 1730242678 | Cathy Mastropietro | Nurse Anesthetist, Certified Registered | 121 W High St # 5, Lima, OH 45801-4308 | 2006-12-19 |
| 1114959269 | Mary Kay Woolsey | Nurse Anesthetist, Certified Registered | 730 W Market Street, Lima, OH 45801 | 2006-07-07 |
| 1265422372 | Linda G Pinzone | Nurse Anesthetist, Certified Registered | 770 W Market Street, Lima, OH 45801-4602 | 2005-10-28 |
| 1487293866 | Cable Sleep LLC | Nurse Anesthetist, Certified Registered | 512 N Cable Rd, Lima, OH 45805-2133 | 2020-01-02 |
| 1598239683 | Alisha Goedde | Nurse Anesthetist, Certified Registered | 730 W Market St, Lima, OH 45801-4602 | 2019-01-11 |
| 1730680216 | Matthew Sean Mclay | Nurse Anesthetist, Certified Registered | 1001 Bellefontaine Ave, Lima, OH 45804 | 2018-02-21 |
| 1639685563 | Christa Israel | Nurse Anesthetist, Certified Registered | 730 W Market St, Lima, OH 45801-4602 | 2017-12-14 |
| Find all providers in LIMA | ||||
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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.