MID-STATE ENDOSCOPY CENTER LLC


Address: 1115 Dow St, Ste A, Murfreesboro, TN 37130-2487
Phone: 6158489234

MID-STATE ENDOSCOPY CENTER LLC (NPI# 1811294531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811294531
Entity Type Organization
Organization Name MID-STATE ENDOSCOPY CENTER LLC
Other Organization Name ANESTHESIA SERVICES OF MSTATE
Practice Address 1115 Dow St
Ste A
Murfreesboro
TN 37130-2487
Practice Telephone 6158489234
Practice Fax Number 6158933188
Mailing Telephone 6158489234
Mailing Fax Number 6158933188
Enumeration Date 2011-02-15
Last Update Date 2019-11-12
NPI Deactivation Date 10/12/2015
NPI Reactivation Date 2015-11-30
Authorized Official Name JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL)
Authorized Official Telephone 9727633893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 210 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN RAILROAD MEDICARE P01044051 01

Other Provider/Organization Names

Other Name Type Code
Anesthesia Services of MState Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598083594 Mid-state Endoscopy Center LLC Clinic/Center 1115 Dow Street, Suite A, Murfreesboro, TN 37130-2443 2010-05-14

Office Location

Street Address 1115 DOW ST
STE A
City MURFREESBORO
State TN
Zip Code 37130-2487

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710309265 Mid State Endo Uap, LLC Nurse Anesthetist, Certified Registered 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 2014-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760954374 Ginger Marie Nolan Speech-Language Pathologist 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 2018-12-20
1710480835 Winter Calvert Cullen Chiropractor 925 S. Church St. A200, Murfreesboro, TN 37130 2018-03-15
1821598368 Carolina Lira Social Worker 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 2018-02-20
1003314477 Sarah Elizabeth Howard Recreation Therapist 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 2018-01-31
1871012864 Adam Gerard Fedewa Physical Therapy Assistant 1207woods Edge Dr, Murfreesboro, TN 37130 2017-09-12
1972027860 Teri Andrea White Specialist 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 2017-08-01
1295285120 Bethany Ann Malugin Nurse Practitioner 324 S. Bilbro Ave., Murfreesboro, TN 37130 2016-10-04
1982080636 Lisa Anne Davis Massage Therapist 416 North Front Street, Murfreesboro, TN 37130 2015-08-05
1568844488 Dental Excellence Dentist 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 2015-06-27
1932545134 Burma Collins Developmental Services Home Health 2161 Slater Drive, Mufressboro, TN 37130 2013-05-14
Find all providers in zip 37130

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811313489 Miriam Ijeoyibo Obioha Nurse Anesthetist, Certified Registered 3033 Community Cir, Murfreesboro, TN 37128 2014-03-06
1720322787 Jessica Sheren Asadsangabi Nurse Anesthetist, Certified Registered 1526 Ballater Dr, Murfreesboro, TN 37128-7582 2012-11-15
1225048259 Daniel Linn Booten Nurse Anesthetist, Certified Registered 4624 Manson Pike, Murfreesboro, TN 37129-3722 2006-08-09
1609829589 Herbert Harb Nurse Anesthetist, Certified Registered 301 N University St, Ste 104, Murfreesboro, TN 37130-3900 2006-05-19
1093354292 Zachery Charles Nichols Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 2020-01-06
1336786177 Carly Cundiff Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 2019-11-27
1720550353 Jonathan Morgan Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 2018-12-20
1558887091 Jeffrey Duncan Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 2017-08-16
1588197701 John-michael Noah Young Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 2017-04-05
1285099630 Matthew Denney Nurse Anesthetist, Certified Registered 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 2015-12-29
Find all providers in MURFREESBORO

Competitor

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City MURFREESBORO
Zip Code 37130

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Dataset Information

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.

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