KENNETH WHITCOMB (NPI# 1720002074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720002074 |
| Entity Type | Individual |
| Full Name | KENNETH WHITCOMB |
| Credential | CRNA |
| Practice Address |
555 Linn St Allegan MI 49010-1524 |
| Practice Telephone | 2696738424 |
| Mailing Telephone | 2696738424 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704119711 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114076742 | Kenneth R Whitcomb | Dentist | 4700 Spring Street, Suite 104, La Mesa, CA 91941 | 2007-01-10 |
| Street Address |
555 LINN ST |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031483 | Pathology Services of Southwestern Michigan, PC | Pathology | 555 Linn St, Allegan, MI 49010-1524 | 2005-11-23 |
| 1891316188 | Melissa May Rogers | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2020-04-28 |
| 1396394417 | Kevin Maynard Cooper | Nurse Practitioner | 555 Linn St, Allegan, MI 49010-1524 | 2019-09-11 |
| 1265943898 | Julia Ann Jenkins | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2017-10-23 |
| 1649510645 | Nicole Arney | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2013-02-27 |
| 1003156803 | Lisa M Kerekes | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2013-02-15 |
| 1457698813 | Tyler Wilhelm | Nurse Anesthetist, Certified Registered | 555 Linn St, Anesthesia Dept., Allegan, MI 49010-1524 | 2013-01-05 |
| 1932364700 | Ascension Allegan Hospital | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2008-07-22 |
| 1225258882 | Ascension Allegan Hospital | Psychiatric Unit | 555 Linn St, Allegan, MI 49010-1524 | 2007-04-26 |
| 1225256506 | Wanetta J Czarnecki | Nutritionist | 555 Linn St, Allegan, MI 49010-1524 | 2007-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| 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 |
|---|---|---|---|---|
| 1457698813 | Tyler Wilhelm | Nurse Anesthetist, Certified Registered | 555 Linn St, Anesthesia Dept., Allegan, MI 49010-1524 | 2013-01-05 |
| 1932364700 | Ascension Allegan Hospital | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2008-07-22 |
| 1225153836 | Timothy V. Fuller | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2007-03-20 |
| 1578688180 | Philip W. Brown | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2007-03-20 |
| 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.