PONTCHARTRAIN ANESTHESIA, LLC (NPI# 1578804936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578804936 |
| Entity Type | Organization |
| Organization Name | PONTCHARTRAIN ANESTHESIA, LLC |
| Practice Address |
2781 Ct Switzer Sr Dr Suite 400 Biloxi MS 39531 |
| Mailing Address |
75024 Emerywood Dr Abita Springs LA 70420-2700 |
| Practice Telephone | 2283884585 |
| Mailing Telephone | 5042313957 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | SHELLY FOURCADE (CREDENTIALING/BILLING MANAGER) |
| Authorized Official Telephone | 9857818565 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2354779 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15190 Community Rd Ste 100, Gulfport, MS 395033484 | 2283884585 |
| Street Address |
2781 CT SWITZER SR DR SUITE 400 |
| City | BILOXI |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| 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 |
|---|---|---|---|---|
| 1770794190 | John Thomas Bailey | Nurse Anesthetist, Certified Registered | 180 Debuys Road, Biloxi, MS 39531 | 2007-05-25 |
| 1790773034 | Paulette D Travis | Nurse Anesthetist, Certified Registered | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2005-10-11 |
| 1952775348 | Meredith Coleman | Nurse Anesthetist, Certified Registered | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2015-11-23 |
| 1255721601 | Adina Westmark | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2015-01-23 |
| 1164866919 | Shawn Douglas Lantz | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-04-23 |
| 1184970881 | Biloxi Hma Physician Management, LLC | Nurse Anesthetist, Certified Registered | 150 Reynoir St, Biloxi, MS 39530-4130 | 2012-07-31 |
| 1164793592 | Erika J Mccarthy | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2012-01-17 |
| 1023245669 | Stacy Carr | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2009-06-21 |
| 1740415074 | Bret Allen Waters | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2009-05-15 |
| 1235317934 | Amanda Siangco | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2008-02-05 |
| Find all providers in BILOXI | ||||
Please comment or provide details below to improve the information on PONTCHARTRAIN 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.