MR. MARTIC SMITH (NPI# 1851402655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851402655 |
| Entity Type | Individual |
| Full Name | MR. MARTIC SMITH |
| Credential | CRNA |
| Practice Address |
2105 Airline Dr Bossier City LA 71111-3105 |
| Mailing Address |
2701 Long Branch Ln Shreveport LA 71118-5027 |
| Practice Telephone | 3185492011 |
| Mailing Telephone | 3185725474 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN082737 AP03943 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2105 AIRLINE DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264211 | Kurt Thomas Grozinger | Radiology | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2005-06-09 |
| 1821223991 | Bossier Specialty Hospital,llc | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2009-05-19 |
| 1689829400 | Ahp of Western Louisana, LLC | Anesthesiology | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-11-20 |
| 1740430156 | Ahp of Western Louisiana LLC | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-09-22 |
| 1295858751 | Jon Patrick Jeffcoat | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2007-04-09 |
| 1649201104 | Ethicus Hospital-shreveport, LLC | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-07-05 |
| 1750345419 | Bossier Specialty Hospital LLC | Special Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-04-12 |
| 1265410583 | Radiology Imaging Associates, LLP | Radiology | 2105 Airline Dr, Radiology Department, Bossier City, LA 71111-3105 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1154719425 | Christopher Todd Yore | Nurse Anesthetist, Certified Registered | 5721 Bluebonnett Dr, Bossier City, LA 71112-4968 | 2015-01-08 |
| 1548444599 | Creighton K Cathey | Nurse Anesthetist, Certified Registered | 603 Fall Winds Cir, Bossier City, LA 71111-6139 | 2007-12-27 |
| 1932220936 | Gregory S Baird | Nurse Anesthetist, Certified Registered | 4855 Airline Dr Apt 20f, Bossier City, LA 71111-6631 | 2007-04-03 |
| 1659467249 | Thomas Olie Mcleod | Nurse Anesthetist, Certified Registered | 3635 Greenacres Place Dr # 348, Bossier City, LA 71111 | 2006-10-04 |
| 1881660272 | Jason David Sanders | Nurse Anesthetist, Certified Registered | 4855 Airline Dr, Apt 10b, Bossier City, LA 71111-6600 | 2006-02-24 |
| 1275865271 | Larissa S Koll | Nurse Anesthetist, Certified Registered | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2010-02-02 |
| 1740430156 | Ahp of Western Louisiana LLC | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-09-22 |
| 1043496607 | Monica N Collinsworth | Nurse Anesthetist, Certified Registered | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2008-01-14 |
| 1295858751 | Jon Patrick Jeffcoat | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2007-04-09 |
| 1396844866 | Gary W Cloud | Nurse Anesthetist, Certified Registered | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2006-09-21 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on MR. MARTIC SMITH.
| 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.