CCSC ANESTHESIA LLC (NPI# 1598161051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598161051 |
| Entity Type | Organization |
| Organization Name | CCSC ANESTHESIA LLC |
| Practice Address |
2807 Capital Medical Blvd Suite 2 Tallahassee FL 32308-4438 |
| Mailing Address |
401 Commerce St Suite 600 Nashville TN 37219-2446 |
| Practice Telephone | 8504024107 |
| Practice Fax Number | 8504024108 |
| Mailing Telephone | 6153456900 |
| Mailing Fax Number | 6156917214 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. DAVID W HOLST (COO) |
| Authorized Official Telephone | 6153456900 |
| 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 |
2807 CAPITAL MEDICAL BLVD SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1750797742 | Gabrielle Cynthia Davis | Nurse Anesthetist, Certified Registered | 723 Truman Avenue, Tallahassee, FL 32314-6298 | 2014-07-10 |
| 1225261241 | Emilee Newsom Applegate | Nurse Anesthetist, Certified Registered | 2173 Centerville Pl, Tallahassee, FL 32308-8302 | 2009-08-25 |
| 1932302254 | Michael James | Nurse Anesthetist, Certified Registered | 2173 Centerville Pl # A, Tallahassee, FL 32308-4356 | 2007-06-06 |
| 1598800526 | Kimberly Rose Balangue | Nurse Anesthetist, Certified Registered | 2173 A Centerville Place, Tallahassee, FL 32308 | 2007-02-20 |
| 1609848894 | Charles Lamar Clayton | Nurse Anesthetist, Certified Registered | 1848 Vineland Ln, Tallahassee, FL 32317-7924 | 2006-02-02 |
| 1255315438 | Susan Lee Daffin | Nurse Anesthetist, Certified Registered | 2010 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2005-12-01 |
| 1598748881 | Raymond H Atteridge | Nurse Anesthetist, Certified Registered | 2173a Centerville Pl, Tallahassee, FL 32308-4356 | 2005-11-21 |
| 1831171990 | Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | 2173 Centerville Pl Ste A, Tallahassee, FL 32308-8303 | 2005-11-15 |
| 1881688026 | Sally Hungerford | Nurse Anesthetist, Certified Registered | 13501 Moccasin Gap Rd, Tallahassee, FL 32309-7234 | 2005-09-02 |
| 1114567260 | Anesthetic Solutions of Florida, LLC | Nurse Anesthetist, Certified Registered | 2824 Mahan Dr, Tallahassee, FL 32308-5403 | 2020-01-07 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.