CHARLES GARY ARNOLD


Address: 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643
Phone: 6013621990

CHARLES GARY ARNOLD (NPI# 1881637692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881637692
Entity Type Individual
Full Name CHARLES GARY ARNOLD
Credential CRNA
Practice Address 971 Lakeland Dr
Suite 202
Jackson
MS 39216-4643
Practice Telephone 6013621990
Practice Fax Number 6013621988
Mailing Telephone 6013621990
Mailing Fax Number 6013621988
Enumeration Date 2006-06-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R538027 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00121321 05

Other Providers CHARLES ARNOLD

NPI Name Taxonomy Address Enumeration
1366830960 Charles Arnold II Ophthalmology 640 S University Blvd, Denver, CO 80209-3319 2015-01-05
1508203266 Charles J. Arnold Jr. Family Medicine 120 Professional Ave, Winchester, KY 40391-1116 2013-06-04
1689720948 Charles W. Arnold Case Manager/Care Coordinator 3325 Harold Dr Ne, Salem, OR 97305-1339 2007-01-26
1285714881 Charles Shannon Arnold Nurse Practitioner 701 Grove Rd, Greenville, SC 29605-4210 2006-10-17
1568430643 Charles Arnold Radiology 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 2006-03-14

Office Location

Street Address 971 LAKELAND DR
SUITE 202
City JACKSON
State MS
Zip Code 39216-4643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588661789 Maurice James Ophthalmology 971 Lakeland Dr, Ste 563, Jackson, MS 39216-4607 2005-07-01
1891226643 Matthew Milling Nurse Anesthetist, Certified Registered 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 2017-03-23
1134667843 Bonney Neill Simmons Nurse Practitioner 971 Lakeland Dr, Jackson, MS 39216-4643 2017-02-02
1437694320 Kristen Degelman Nurse Practitioner 971 Lakeland Dr, Suite 401, Jackson, MS 39216-4643 2016-12-30
1134671787 Jackson Thyroid & Endocrine Clinic Pllc Internal Medicine 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 2016-10-31
1609223205 Sally Sullivan Nurse Anesthetist, Certified Registered 971 Lakeland Dr, Jackson, MS 39216-4643 2016-05-24
1932576998 Misty Gaines Nurse Practitioner 971 Lakeland Dr, Suite 657, Jackson, MS 39216-4643 2015-08-26
1659755676 Angela B. Mccallum Nurse Practitioner 971 Lakeland Dr, Jackson, MS 39216-4643 2015-07-20
1356732481 St Dominic Medical Associates LLC Internal Medicine 971 Lakeland Dr, Suite, Jackson, MS 39216-4643 2015-02-11
1689063067 St Dominic Medical Associates LLC Urology 971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 2015-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295232304 Trumania Inc Nurse Anesthetist, Certified Registered 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 2018-04-06
1902287501 Timothy Parrish Nurse Anesthetist, Certified Registered 27 Red Deer Cv, Jackson, TN 38305-6485 2015-06-09
1821345398 Denicia Maria Rankin Nurse Anesthetist, Certified Registered 88 Boyd Dr, Jackson, TN 38305-2152 2012-08-14
1437425717 Sheela Federici Nurse Anesthetist, Certified Registered 545 Rutledge St, Jackson, MI 49203-1113 2012-03-30
1164611240 Yvette George Nurse Anesthetist, Certified Registered 105 F Stonebrook Pl, Jackson, TN 38305 2007-10-15
1194843110 Patricia Lynn Koprivica Nurse Anesthetist, Certified Registered 5919 Amber, Jackson, MI 49201-8389 2007-03-27
1215055454 Eunai Danek Nurse Anesthetist, Certified Registered 2571 Cascade Creek Dr, Jackson, MI 49203-3771 2007-03-26
1508950064 Mark Combs Nurse Anesthetist, Certified Registered 205 North East Ave, Anesthesia Department, Jackson, MI 49201 2006-10-02
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1932292596 James Gerard Brown Nurse Anesthetist, Certified Registered Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 2006-10-02
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City JACKSON
Zip Code 39216

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Dataset Information

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.

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