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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 210 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | RAILROAD MEDICARE | P01044051 | 01 |
Other Name | Type Code |
---|---|
Anesthesia Services of MState | Doing Business As Name - Organization |
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 |
Street Address |
1115 DOW ST STE A |
City | MURFREESBORO |
State | TN |
Zip Code | 37130-2487 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | MURFREESBORO |
Zip Code | 37130 |
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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.