MR. CECIL TIMOTHY JACKSON (NPI# 1851330666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851330666 |
| Entity Type | Individual |
| Full Name | MR. CECIL TIMOTHY JACKSON |
| Credential | CRNA |
| Practice Address |
90 Highway 91 South C/o Barrett Hospital & Healthcare Dillon MT 59725-3597 |
| Mailing Address |
203 S Daisy St Salmon ID 83467-4709 |
| Practice Telephone | 4066833000 |
| Practice Fax Number | 4066833011 |
| Mailing Telephone | 2087562429 |
| Mailing Fax Number | 2087562429 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 29774 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE LICENSE NUMBER | 29774 | 01 |
| Street Address |
90 HIGHWAY 91 SOUTH C/O BARRETT HOSPITAL & HEALTHCARE |
| City | DILLON |
| State | MT |
| Zip Code | 59725-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640104 | Bohannon Creek Enterprises, Inc. | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725-3516 | 2006-07-14 |
| 1598780207 | Trucker Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725 | 2006-07-13 |
| 1629093851 | Gordon H. Lucas | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725-3516 | 2006-07-12 |
| 1508881749 | Dennis B. Hatfield | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725 | 2006-07-12 |
| 1043242415 | Aurora Anesthesia, Inc. | Advanced Practice Midwife | 90 Highway 91 South, Dillon, MT 59725 | 2006-07-07 |
| 1750324828 | Beaverhead County Public Health | Public Health or Welfare | 90 Highway 91 South, Dillon, MT 59725-3557 | 2006-06-14 |
| 1912949983 | Beaverhead County Public Health | Public Health or Welfare | 90 Highway 91 South, Dillon, MT 59725-3557 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998508 | Sarah Riebel | Physical Therapy Assistant | 30 State Highway 91, Dillon, MT 59725 | 2020-06-26 |
| 1508397761 | Tawni Harper | Occupational Therapist | 600 State Hwy 91 South, Dillon, MT 59725 | 2017-03-21 |
| 1437532173 | Meghan Combs | Internal Medicine | 600 Mt Hwy 91 S., Dillon, MT 59725 | 2015-06-30 |
| 1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
| 1578817789 | Krista Maness | Counselor | 610 N Montana St Ste 10, Dillon, MT 59725 | 2012-11-09 |
| 1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
| 1407145527 | Latresha G. Garrison | Counselor | 23 S. Idaho #2, Dillon, MT 59725 | 2011-03-29 |
| 1457657009 | The Legacy Assisted Living LLC | Assisted Living Facility | 1000 Hwy 91 South, Dillon, MT 59725 | 2011-01-31 |
| 1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
| 1164666889 | Justin Howard Rhodes | Student in an Organized Health Care Education/Training Program | 327 E. Helena St, Dillon, MT 59725 | 2009-04-24 |
| Find all providers in zip 59725 | ||||
| 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 |
|---|---|---|---|---|
| 1902125628 | Timothy Hall | Nurse Anesthetist, Certified Registered | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2010-05-19 |
| 1184640104 | Bohannon Creek Enterprises, Inc. | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725-3516 | 2006-07-14 |
| 1598780207 | Trucker Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725 | 2006-07-13 |
| 1629093851 | Gordon H. Lucas | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725-3516 | 2006-07-12 |
| 1508881749 | Dennis B. Hatfield | Nurse Anesthetist, Certified Registered | 90 Highway 91 South, Dillon, MT 59725 | 2006-07-12 |
| 1235184151 | Lionel D. Rajotte | Nurse Anesthetist, Certified Registered | 301 E Jackson St, Dillon, SC 29536-2509 | 2006-05-23 |
| 1396798427 | E. Joseph Villeneuve | Nurse Anesthetist, Certified Registered | 301 E Jackson St, Dillon, SC 29536-2509 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733709 | M & M Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 3207 Augusta Ave, Butte, MT 59701-4405 | 2015-10-28 |
| 1316374820 | Marcus Jay Wilsey | Nurse Anesthetist, Certified Registered | 9589 Highway 2 East, Martin City, MT 59926 | 2013-09-28 |
| 1205103306 | Spectrum Anesthesia & Pain Management Services, S.c. | Nurse Anesthetist, Certified Registered | 1739 Spring Creek Lane Suite 100, Billings, MT 59102 | 2011-11-18 |
| 1750601423 | Tana M Taylor | Nurse Anesthetist, Certified Registered | 2111 Garfield St, Anaconda, MT 59711-1719 | 2010-06-04 |
| 1194907543 | Tara Munroe | Nurse Anesthetist, Certified Registered | 925 Highland Blvd Ste 1180, Bozeman, MT 59715-6905 | 2007-11-28 |
| 1922147693 | William Mark Higgs | Nurse Anesthetist, Certified Registered | 430 Fleshman Creek Rd, Livingston, MT 59047-1536 | 2007-02-06 |
| 1437266632 | Mark Alan Edwards | Nurse Anesthetist, Certified Registered | 350 Louisiana Ave, Libby, MT 59923-2130 | 2006-08-24 |
| 1811918998 | Tobacco Root Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 7 Vandolah Rd, Three Forks, MT 59752-8673 | 2006-07-22 |
| 1710903554 | Daniel Richard Mattson | Nurse Anesthetist, Certified Registered | 3111 Avenue E, Billings, MT 59102-6548 | 2006-07-14 |
| 1396778569 | Grant Palm | Nurse Anesthetist, Certified Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-07-09 |
| Find all providers with the same taxonomy | ||||
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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.