JACK HOLLAND (NPI# 1699755231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699755231 |
| Entity Type | Individual |
| Full Name | JACK HOLLAND |
| Credential | CRNA |
| Practice Address |
Heber Valley Hospital 1485 Us-40 Heber City UT 84032 |
| Mailing Address |
6127 Kingsford Ave Park City UT 84098-6317 |
| Practice Telephone | 4356542500 |
| Mailing Telephone | 3072037739 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 161328 | NC | Nursing Service Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 821399 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 053081 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8051521 | 05 |
| Street Address |
HEBER VALLEY HOSPITAL 1485 US-40 |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| 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 |
|---|---|---|---|---|
| 1285671446 | Justin D Williams | Nurse Anesthetist, Certified Registered | 650 E 250 S, Heber City, UT 84032-2149 | 2006-05-31 |
| 1851764112 | Legacy Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1485 S Highway 40, Heber City, UT 84032-3522 | 2015-11-09 |
| 1720166614 | Shannon H Hallowell-schemmer | Nurse Anesthetist, Certified Registered | 1485 S Highway 40, Heber City, UT 84032-3522 | 2006-11-01 |
| 1699790113 | Michael A Dagley | Nurse Anesthetist, Certified Registered | 1485 S Highway 40, Heber City, UT 84032-3522 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1083223523 | Mt Olympus Anesthesia | Nurse Anesthetist, Certified Registered | 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 | 2020-07-30 |
| 1922627975 | Nic-sedation Pllc | Nurse Anesthetist, Certified Registered | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-09 |
| 1871139972 | Suzanne Enos Tremblay | Nurse Anesthetist, Certified Registered | 1051 E 100 N, Lindon, UT 84042-2268 | 2019-11-23 |
| 1629638101 | Cloud Nine Sedations | Nurse Anesthetist, Certified Registered | 5465 Aspen Meadow Ln, Mountain Green, UT 84050-6766 | 2019-06-18 |
| 1558927376 | Rocky Point Anesthesia | Nurse Anesthetist, Certified Registered | 6811 Firth Farm Rd, South Weber, UT 84405-7193 | 2019-05-16 |
| 1083120059 | Dallin Marchant | Nurse Anesthetist, Certified Registered | 1954 S 2600 E, Slc, UT 84108-3334 | 2017-12-28 |
| 1477068294 | Michael G Bergeson | Nurse Anesthetist, Certified Registered | 136 W 1300 North Cir, Centerville, UT 84014-1400 | 2017-12-04 |
| 1356886832 | Jeremy Henrie | Nurse Anesthetist, Certified Registered | 10660 S Rembrandt Ln, Sandy, UT 84070-5224 | 2016-12-20 |
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
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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.