RUSSELL GLYN RADER (NPI# 1629023403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629023403 |
| Entity Type | Individual |
| Full Name | RUSSELL GLYN RADER |
| Credential | CRNA |
| Practice Address |
703 Mcewan Clare MI 48617 |
| Mailing Address |
9975 Timber Ridge Rd Farwell MI 48622 |
| Practice Telephone | 9898028875 |
| Practice Fax Number | 9898028866 |
| Mailing Telephone | 9898028875 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704143484 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
703 MCEWAN |
| City | CLARE |
| State | MI |
| Zip Code | 48617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598826 | Katrina Carrigan | Occupational Therapy Assistant | 600 Sw 4th Street, Clare, MI 48617 | 2013-11-06 |
| 1891075073 | Amy Ellen Weber | Nurse Practitioner | 703 Mcewan St., Midmichigan Medical Center, Clare, MI 48617 | 2011-08-19 |
| 1053615708 | Dale J Moser | Eyewear Supplier (Equipment, not the service) | 1520 N Mcewan St, Clare, MI 48617 | 2011-01-10 |
| 1063571719 | Alpha Chiropractic Clinic Inc | Chiropractor | 1424 N Mcewan Street, Clare, MI 48617 | 2006-12-08 |
| 1245324888 | Paula L Myers | Occupational Therapist | 4139 E Coleman Rd, Clare, MI 48617 | 2006-10-03 |
| 1659330702 | Trisha Anne Mcmillan | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| 1043641541 | Denise Ann Carrier | Licensed Practical Nurse | 810 Cedar St, Clare, MI 48617 | 2013-12-09 |
| 1487876041 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1432 N Mcewan St, Clare, MI 48617 | 2007-05-03 |
| 1417916560 | Patrick L Howe | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| 1760567838 | Alan D Scott Od PC | Optometrist | 605 Mcewan Street, Clare, MI 48617-0060 | 2006-10-26 |
| Find all providers in zip 48617 | ||||
| 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 |
|---|---|---|---|---|
| 1497061220 | Marc A Dean | Nurse Anesthetist, Certified Registered | 703 N Mcewan St, Clare, MI 48617-1440 | 2010-08-31 |
| 1467461384 | William R Groves | Nurse Anesthetist, Certified Registered | 703 N Mcewan St, Clare, MI 48617-1440 | 2006-08-07 |
| 1952380487 | Eric William Houk | Nurse Anesthetist, Certified Registered | 703 N Mcewan St, Clare, MI 48617-1440 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
| 1669008017 | Kalin Elizabeth Wade | Nurse Anesthetist, Certified Registered | 4485 Kenneth Dr Apt C207, Okemos, MI 48864-1900 | 2020-03-18 |
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1730729740 | Pride Mudzwova | Nurse Anesthetist, Certified Registered | 57693 Dakota Dr, New Hudson, MI 48165-9336 | 2020-01-08 |
| 1982249041 | Leif Elias | Nurse Anesthetist, Certified Registered | 3443 Oak Dr, Ann Arbor, MI 48105-9798 | 2019-11-13 |
| 1619512779 | Yvonne Marie Bridgeford | Nurse Anesthetist, Certified Registered | 2113 Mason Rd, Howell, MI 48843-8903 | 2019-11-13 |
| 1184269243 | Jaclyn Rochefort | Nurse Anesthetist, Certified Registered | 5381 Frovan Pl, Saginaw, MI 48638-5573 | 2019-11-13 |
| 1932744091 | Sean S Vanderwaal | Nurse Anesthetist, Certified Registered | 1420 Perry Rd Apt 1-8, Grand Blanc, MI 48439-1727 | 2019-11-13 |
| 1467093153 | Apollo Medical Group of Traverse City Pllc | Nurse Anesthetist, Certified Registered | 3663 N Country Dr, Traverse City, MI 49684-4587 | 2019-10-03 |
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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.