TIMOTHY ROOSE


Address: One Meadows Pkwy, Vidalia, GA 30474-8759
Phone: 9125385359

TIMOTHY ROOSE (NPI# 1881689917) 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) 1881689917
Entity Type Individual
Full Name TIMOTHY ROOSE
Credential CRNA
Practice Address One Meadows Pkwy
Vidalia
GA 30474-8759
Mailing Address Po Box 1303
Vidalia
GA 30475-1303
Practice Telephone 9125385359
Practice Fax Number 9125385228
Mailing Telephone 9125385359
Mailing Fax Number 9125385228
Enumeration Date 2005-09-14
Last Update Date 2015-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R082998 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000550151B 05

Office Location

Street Address ONE MEADOWS PKWY
City VIDALIA
State GA
Zip Code 30474-8759

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730655374 Abby Virginia Adams Speech-Language Pathologist 101 Harris Insustrial Blvd, Vidalia, GA 30474 2018-10-22
1467930156 Laurel Shiver Sapp Nurse Practitioner 1608 Meadows Ln, Vidalia, GA 30474 2018-08-03
1235658931 Mary Frances Andrews Nurse Practitioner 1608 Meadows Lane Suite 1, Vidalia, GA 30474 2017-09-13
1154714574 Georgia Eye Institute of The Southeast, LLC Optometrist 104 Andrews Street, Suite 112, Vidalia, GA 30474 2015-03-10
1790112571 Tattnall Hospital Company, LLC Surgery 1702-a Meadows Lane, Vidalia, GA 30474 2013-10-10
1801235312 Paul Anderson Youth Home, Inc. Substance Abuse Rehabilitation Facility 1603 Mcintosh Street, Vidalia, GA 30474 2013-06-18
1043591076 Kimberly Thigpen Evans Nurse Practitioner 621 East First Street, Unit B, Vidalia, GA 30474 2011-09-03
1154614360 Tattnall Hospital Company, LLC Family Medicine 1811 Edwina Drive, Vidalia, GA 30474 2011-05-20
1255586053 Vidalia Medical Partners Inc. Home Health 801 Mcnatt Street, Vidalia, GA 30474 2008-11-20
1154596419 Jill Nicole Lawrence Speech-Language Pathologist 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 2008-04-28
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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
1730572850 Daniel Tyler Harris Nurse Anesthetist, Certified Registered 1 Meadows Pkwy, Vidalia, GA 30474-8759 2015-03-13
1437421773 Shannon Lacey Staten Nurse Anesthetist, Certified Registered 1 Meadows Pkwy, Vidalia, GA 30474-8759 2012-02-02
1851578637 Damon Keith Jessup Nurse Anesthetist, Certified Registered 1 Meadows Pkwy, Vidalia, GA 30474-8759 2008-01-24
1972783546 Ann Marie Chalker Nurse Anesthetist, Certified Registered 1 Meadows Pkwy, Vidalia, GA 30474-8759 2007-11-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063010189 Soms Anesthesia, LLC Nurse Anesthetist, Certified Registered 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 2020-10-12
1366071557 Kelly A Winter Nurse Anesthetist, Certified Registered 780 Hillmont Ave, Decatur, GA 30030-3944 2020-04-08
1932762580 Velocity Health Partners LLC Nurse Anesthetist, Certified Registered 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 2019-04-19
1255805107 B and B Healthcare Consultants Nurse Anesthetist, Certified Registered 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 2019-01-14
1497227797 Mustapha Timmy Issa Nurse Anesthetist, Certified Registered 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 2018-12-26
1790256931 Change of Life Companion Homecare LLC Nurse Anesthetist, Certified Registered 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 2018-12-16
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1467927038 Glga Anesthesia LLC Nurse Anesthetist, Certified Registered 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 2018-10-09
1972098770 Brett E Mason Nurse Anesthetist, Certified Registered 902 S 7th St, Cordele, GA 31015-2855 2018-06-25
1760989925 Dream Team Anesthesia Associates Inc Nurse Anesthetist, Certified Registered 807 Carroll St Ste C-2002, Perry, GA 31069-3311 2018-04-12
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Competitor

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City VIDALIA
Zip Code 30474

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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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