SAMUEL KYLE PENDLETON (NPI# 1578676946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676946 |
| Entity Type | Individual |
| Full Name | SAMUEL KYLE PENDLETON |
| Credential | CRNA |
| Practice Address |
6250 Us Highway 83 Abilene TX 79606-5215 |
| Mailing Address |
189 Lake Ridge Rd Tuscola TX 79562-3662 |
| Practice Telephone | 3254281000 |
| Mailing Telephone | 3255724097 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 674937 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 87985U | 01 |
| Street Address |
6250 US HIGHWAY 83 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817186 | Eric M Schackmuth | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-08 |
| 1205435112 | Dee Angela Fanning | Nurse Practitioner | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2020-10-21 |
| 1144696832 | Dustin Christensen | Nurse Anesthetist, Certified Registered | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2015-08-17 |
| 1255747879 | Matthew Lee Pennington | Pharmacist | 6250 Us Highway 83, Pharmacy, Abilene, TX 79606-5215 | 2014-07-02 |
| 1760752695 | Matthew J Mitchell | Nurse Anesthetist, Certified Registered | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2012-01-10 |
| 1669707501 | West Texas Radiology Group, Pa | Radiology | 6250 Us Highway 83, Radiology Department, Abilene, TX 79606-5215 | 2009-10-09 |
| 1033387212 | Sharayu V Rane | Pediatrics | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2008-02-11 |
| 1750570545 | Ronald Dwayne Meador | Nurse Practitioner | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2007-10-17 |
| 1780613638 | Clinical Partners Pa Abilene | Anesthesiology | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2006-07-02 |
| 1730165655 | Alfredo Bernard Cartaya | Pediatrics | 6250 Us Highway 83, Abilene, TX 79606 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| 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 |
|---|---|---|---|---|
| 1356451850 | Prime Care Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2009 Cynthia Court, Abilene, TX 79602-5245 | 2006-08-30 |
| 1629031869 | Jeannette Ingrid Garcia | Nurse Anesthetist, Certified Registered | 6250 Highway 83/84, Abilene, TX 79606 | 2006-04-10 |
| 1548242506 | Marilyn E. Smalley | Nurse Anesthetist, Certified Registered | 803 N Brady St, Abilene, KS 67410-2115 | 2005-11-16 |
| 1497744833 | Deborah E Johnson | Nurse Anesthetist, Certified Registered | 4400 Buffalo Gap Rd, Suite 2250, Abilene, TX 79606-2723 | 2005-10-18 |
| 1164411740 | David Mark Schiessler | Nurse Anesthetist, Certified Registered | 5602 Health Center Dr, Abilene, TX 79606-1227 | 2005-10-17 |
| 1730187428 | Wanda Barry | Nurse Anesthetist, Certified Registered | 1317 N 8th St, 2nd Floor, Abilene, TX 79601-4145 | 2005-07-07 |
| 1477183465 | Grace Chishongo Mlondiwa | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2020-01-19 |
| 1508401365 | Jason Gonzalez | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2019-11-15 |
| 1932762663 | Lance Palmer | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2019-04-18 |
| 1134782147 | Alisa Jo Edmunds | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2019-04-16 |
| Find all providers in ABILENE | ||||
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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.