MR. CODY OWEN BACKENSTOE (NPI# 1598007825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598007825 |
| Entity Type | Individual |
| Full Name | MR. CODY OWEN BACKENSTOE |
| Credential | CRNA |
| Practice Address |
421 Chew St Allentown PA 18102-3406 |
| Mailing Address |
4653 Steven Ln Walnutport PA 18088-9619 |
| Practice Telephone | 6107764200 |
| Mailing Telephone | 4849513582 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN595267 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
421 CHEW ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652673 | Sanjay C Kansara | Anesthesiology | 421 Chew St, Allentown, PA 18102-3406 | 2005-07-12 |
| 1639738594 | St. Luke's Physician Group, Inc | Surgery | 421 Chew St, Allentown, PA 18102-3406 | 2019-06-13 |
| 1073081089 | Brenna Kay Smudde | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-11-07 |
| 1518441757 | Alexandra Yrievna Savkova | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-09-24 |
| 1508346701 | Christine A Fischer | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-08-16 |
| 1750893400 | Diana Marie Ciminieri | Registered Nurse | 421 Chew St, Allentown, PA 18102-3406 | 2017-11-02 |
| 1467904540 | Sacred Heart Hospital Pharmacy | Pharmacy | 421 Chew St, Allentown, PA 18102-3406 | 2016-10-25 |
| 1992140198 | Cynthia Chayka | Dietitian, Registered | 421 Chew St, Allentown, PA 18102-3406 | 2013-05-02 |
| 1174967293 | Tanner Folster | Emergency Medicine | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-19 |
| 1306289954 | Emily Lisco | Psychiatry & Neurology | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| 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 |
|---|---|---|---|---|
| 1972153997 | Eastern Pennsylvania Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 1501 N Cedar Crest Blvd Ste 100, Allentown, PA 18104-2309 | 2019-09-12 |
| 1417991365 | Lynn Howard Mead | Nurse Anesthetist, Certified Registered | 1503 N Cedar Crest Blvd, Allentown, PA 18104-2302 | 2006-06-15 |
| 1164496741 | Kathleen G Lodewick | Nurse Anesthetist, Certified Registered | 24 S 18th St, Allentown, PA 18104-5622 | 2006-02-13 |
| 1447232707 | Michelle R Huber | Nurse Anesthetist, Certified Registered | 5000 Tilghman St, Ste 240, Allentown, PA 18104 | 2005-11-14 |
| 1043216989 | Susan Elizabeth Abrams | Nurse Anesthetist, Certified Registered | 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104-4813 | 2005-06-24 |
| 1114540127 | Eleanor Leonard | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-05-26 |
| 1588294656 | Jessica Miller | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1669002739 | Rachel Gross | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1487294534 | Anastasiya Stecker | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-07 |
| 1659910198 | Robert Weiland | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-02 |
| Find all providers in ALLENTOWN | ||||
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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.