JANET VARDAMAN (NPI# 1851304208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851304208 |
| Entity Type | Individual |
| Full Name | JANET VARDAMAN |
| Credential | CRNA |
| Practice Address |
17501 Generations Dr South Bend IN 46635-1589 |
| Practice Telephone | 5742340049 |
| Mailing Telephone | 5742340049 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28125272 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200195220 | 05 |
| Street Address |
17501 GENERATIONS DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051341 | John Glenn Mathis | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-05-24 |
| 1548502495 | Desiree Dian Williams | Registered Nurse | 17501 Generations Dr, South Bend, IN 46635-1589 | 2013-03-19 |
| 1750607354 | Ravi J Patel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635 | 2010-04-08 |
| 1528222387 | Thomas R Vanderheyden Jr. | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2008-07-10 |
| 1144433467 | Seth F Tatel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635 | 2007-05-07 |
| 1972500874 | Mary Jo Morey | Nurse Practitioner | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-07-07 |
| 1821094525 | Michiana Gastroenterology, Inc | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-27 |
| 1770587339 | David G Mark | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-10 |
| 1124022082 | Pankaj A Patel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-09 |
| 1649272725 | Michael Alan Manbeck | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1023572781 | Allied Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 53990 Carmichael Dr Ste 100, South Bend, IN 46635-1585 | 2019-01-28 |
| 1063764835 | Jamie Ann Davidson | Nurse Anesthetist, Certified Registered | 1536 Crestwood Blvd, South Bend, IN 46635-1917 | 2012-10-03 |
| 1235163908 | Michael James Reeves | Nurse Anesthetist, Certified Registered | 800 Alder Street, South Bend, WA 98586 | 2006-07-10 |
| 1376629907 | Charles Alec Reidinger | Nurse Anesthetist, Certified Registered | 800 Alder Street, South Bend, WA 98586 | 2006-10-27 |
| 1578672150 | Julie Anne Addis | Nurse Anesthetist, Certified Registered | 53830 Generations Dr, South Bend, IN 46635-1543 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| 1053938324 | Sara Rosemarie Saylor | Nurse Anesthetist, Certified Registered | 4455 Edison Lakes Pkwy # 100, Mishawaka, IN 46545-1414 | 2020-07-02 |
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1912540931 | Evin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1101 Professional Blvd Ste 104, Evansville, IN 47714-8018 | 2019-10-22 |
| 1427619840 | Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | 3212 Hickory Rd Ste A, Mishawaka, IN 46545-8863 | 2019-06-26 |
| 1013475375 | Vigilance Anesthesiologists & Pain Specialists PC | Nurse Anesthetist, Certified Registered | 5363 Commerce Blvd, Crown Point, IN 46307-5325 | 2019-03-06 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1275018236 | Indiana Ams LLC | Nurse Anesthetist, Certified Registered | 9200 Calumet Ave Ste 200, Munster, IN 46321-2885 | 2018-09-26 |
| 1598248239 | Cassandra Anne Kelly | Nurse Anesthetist, Certified Registered | 1 Sycamore St Apt 343, Terre Haute, IN 47807-2622 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
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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.