DALLAS LEO HOLBECK (NPI# 1871058396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871058396 |
| Entity Type | Individual |
| Full Name | DALLAS LEO HOLBECK |
| Credential | CRNA |
| Practice Address |
2823 Fresno St Fresno CA 93721-1324 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 5594596000 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NA95001095 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2755 Herndon Ave, Clovis, CA 936116800 | 5593244000 |
| Street Address |
2823 FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502449 | Catherine C Thaxter | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2005-10-19 |
| 1558973362 | Craig M Peek | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-21 |
| 1336759513 | James M Nguyen | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-03 |
| 1205445715 | Mckinsey Holthaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-07-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1639792831 | Surpreme Health | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-21 |
| 1588286439 | Haylee Degrood | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-14 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326674292 | Amritpal Singh Padda | Nurse Practitioner | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
| 1720543762 | Advanced Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | 568 E Herndon Ave Ste 103, Fresno, CA 93720-2989 | 2019-02-04 |
| 1790230886 | Jonathan Gardner | Nurse Anesthetist, Certified Registered | 2823 Fresno & R St, Fresno, CA 93721-1324 | 2016-08-18 |
| 1396872164 | Gwendolyn K Mckinney | Nurse Anesthetist, Certified Registered | 5859 E Midwick Ln, Fresno, CA 93727-5528 | 2007-02-27 |
| 1437223088 | Terry Kyrm Bavin | Nurse Anesthetist, Certified Registered | 7300 N. Fresno St., Fresno, CA 93720-2942 | 2006-11-17 |
| 1114090230 | Robert Howard Ford II | Nurse Anesthetist, Certified Registered | 2823 Fresno & R Street, Fresno, CA 93721-1365 | 2006-11-16 |
| 1972689537 | Sherry K Wiggins | Nurse Anesthetist, Certified Registered | Fresno and R Street, Fresno, CA 93721 | 2006-10-27 |
| 1568553436 | Gary Havlicek | Nurse Anesthetist, Certified Registered | 165 N Clark St, Fresno, CA 93701-2108 | 2006-09-27 |
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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.