PAUL KISUCKY LLC (NPI# 1790340974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790340974 |
| Entity Type | Organization |
| Organization Name | PAUL KISUCKY LLC |
| Practice Address |
925 S Walnut St Las Cruces NM 88001-3955 |
| Mailing Address |
205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3259 |
| Practice Telephone | 5755236330 |
| Mailing Telephone | 5755327033 |
| Mailing Fax Number | 5755567139 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | PAUL J KISUCKY III (OWNER) |
| Authorized Official Telephone | 9153015091 |
| Authorized Official Credential | CRNA |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10500 Vista Del Sol Dr Ste B, El Paso, TX 799257925 | 9152461352 |
| Street Address |
925 S WALNUT ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932133618 | Paul Kisucky IIi | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2006-07-10 |
| 1538719372 | Iyamu Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-09-13 |
| 1558802371 | Redmallet Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2017-03-13 |
| 1750670378 | Las Cruces Surgeons Group, LLC | Specialist | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2011-04-05 |
| 1780981886 | Vein Center of Las Cruces, LLC | Specialist | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1235740549 | Catherine Elizabeth Boyle | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 | 2020-08-11 |
| 1053958066 | Jessica Quinteros | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd, Las Cruces, NM 88011-8627 | 2019-12-09 |
| 1568866176 | Eva Suniga | Nurse Anesthetist, Certified Registered | 3957 Agua De Vida Dr, Las Cruces, NM 88012-7669 | 2014-10-10 |
| 1043643679 | Aaron Villarreal | Nurse Anesthetist, Certified Registered | 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 | 2013-08-19 |
| 1932133618 | Paul Kisucky IIi | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2006-07-10 |
| 1861028615 | Lilia Azucena Goroeoff | Nurse Anesthetist, Certified Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-03-12 |
| 1235769829 | Skyler Murdock | Nurse Anesthetist, Certified Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-01-22 |
| 1538719372 | Iyamu Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-09-13 |
| 1740767482 | Ike Ikponmwosa Iyamu | Nurse Anesthetist, Certified Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2018-07-25 |
| 1558802371 | Redmallet Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2017-03-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.