PULASKI ANESTHESIA SERVICES LLC (NPI# 1780047506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780047506 |
| Entity Type | Organization |
| Organization Name | PULASKI ANESTHESIA SERVICES LLC |
| Practice Address |
1265 E College St Pulaski TN 38478-4541 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 6608265960 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | ROBERT CLEMENS (CEO) |
| Authorized Official Telephone | 6608265960 |
| Authorized Official Credential | MD, PHD |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q021545 | 05 |
| Street Address |
1265 E COLLEGE ST |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623258 | Todd Jefferson Lucas | Surgery | 1265 E College St, Suite 9, Pulaski, TN 38478-4541 | 2005-07-20 |
| 1174087621 | Brandon Matt Fleming | Physical Therapist | 1265 E College St, Pulaski, TN 38478-4541 | 2019-01-29 |
| 1376082933 | Matthew Jesse Burns | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2017-02-15 |
| 1669927257 | Amg - Hillside, LLC | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2016-08-24 |
| 1699152686 | Mathios M Bayssie | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2015-04-29 |
| 1689081630 | Hannah D Schimmer | Nurse Practitioner | 1265 E College St, Pulaski, TN 38478-4541 | 2014-07-22 |
| 1225450646 | Joseph E Hemmen Jr. | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2014-01-21 |
| 1477991743 | Insight Radiology Pllc | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2013-06-10 |
| 1588934673 | Amg-hillside, LLC | Psychiatry & Neurology | 1265 E College St, Pulaski, TN 38478-4541 | 2012-01-05 |
| 1649457391 | Melvin L. Christian Jr. | Registered Nurse | 1265 E College St, Pulaski, TN 38478-4541 | 2008-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
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| 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 |
|---|---|---|---|---|
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1225450646 | Joseph E Hemmen Jr. | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2014-01-21 |
| 1295811073 | Giles County Anesthesia PC | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1831702372 | Chinoyerem Anayo Oji | Nurse Anesthetist, Certified Registered | 2674 New Port Royal Rd, Thompsons Station, TN 37179-5341 | 2020-08-25 |
| 1134765332 | Brennan Mountz | Nurse Anesthetist, Certified Registered | 774 Iris Dr, Sparta, TN 38583-2459 | 2019-11-22 |
| 1760954242 | Ndemafia Tung | Nurse Anesthetist, Certified Registered | 1 Williamsburg Dr Apt 614, Hendersonville, TN 37075-5782 | 2018-12-21 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1679058929 | Bristol Computer Services, Inc. | Nurse Anesthetist, Certified Registered | 3185 W State St Ste 2020, Bristol, TN 37620-1600 | 2018-10-02 |
| 1295241495 | Darren Alex Watson | Nurse Anesthetist, Certified Registered | 744 Blount Cir, Rutledge, TN 37861-5713 | 2017-12-26 |
| 1710499561 | Legacy Anesthesia | Nurse Anesthetist, Certified Registered | 12186 Paw Paw Plains Rd, Lenoir City, TN 37771-3510 | 2017-11-02 |
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1427585892 | Crystal Koss | Nurse Anesthetist, Certified Registered | 5653 Frist Blvd Ste 532, Hermitage, TN 37076-2067 | 2017-05-17 |
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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.