FIRST STATE ANESTHESIA SERVICES LLC (NPI# 1902950603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902950603 |
| Entity Type | Organization |
| Organization Name | FIRST STATE ANESTHESIA SERVICES LLC |
| Practice Address |
4923 Ogletown Stanton Rd Suite 100 Newark DE 19713-2081 |
| Mailing Address |
Po Box 6385 Wilmington DE 19804-0985 |
| Practice Telephone | 3022252380 |
| Practice Fax Number | 3022252388 |
| Mailing Telephone | 3022252380 |
| Mailing Fax Number | 3022252388 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. THIRUMALESHAWAR KANCHANA (PHYSICIAN COORDINATOR) |
| Authorized Official Telephone | 3022252380 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIHEALTH/KEYSTONE | 2818802000 | 01 | |
| AETNA | 7567859 | 01 | |
| RAILROAD MEDICARE | DG28116 | 01 |
| Street Address |
4923 OGLETOWN STANTON RD SUITE 100 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751747 | Mid-atlantic Endoscopy Center, LLC | Clinic/Center | 4923 Ogletown Stanton Rd, Ste 100, Newark, DE 19713-2081 | 2005-06-22 |
| 1609316512 | Silvia Almanza-shoop | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2017-02-27 |
| 1407395759 | Sedelle Henderson-bamidele | Nurse Practitioner | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2017-02-20 |
| 1912456336 | John Charlton | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-09-27 |
| 1023566866 | Lieren Healey | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-09-21 |
| 1245681766 | Latrelle Edwards | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-06-27 |
| 1588024756 | Mistie D Mcmullen | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-03-02 |
| 1922467208 | Rebecca Irvin | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-02-16 |
| 1669838231 | Catherine Chance | Registered Nurse | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2016-01-12 |
| 1265805048 | Kristine Brooks | Dietitian, Registered | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2015-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164954566 | Michael Chukwuemeka Ndukwe | Anesthesiology | 185 S Orange Ave # Msbf-603, Newark, NJ 07103-2757 | 2017-04-03 |
| 1003158718 | Anna Korban | Anesthesiology | 185 S Orange Ave # Msbf-611, Newark, NJ 07103-2757 | 2013-03-20 |
| 1750645982 | Akwasi Peprah Amponsah Jr. | Anesthesiology | 150 Bergen St # Streete, Newark, NJ 07103 | 2012-07-03 |
| 1285994582 | Shachi C Patel | Anesthesiology | 1 Centurian Dr Ste 110, Newark, DE 19713-2154 | 2012-05-21 |
| 1407122609 | Uchenna Anthony Madubuko | Anesthesiology | 550 S 19th St, Newark, NJ 07103 | 2012-04-02 |
| 1154692077 | Michael Suleiman Marji | Anesthesiology | St. Michael's Medical Center, 111 Central Avenue, Newark, NJ 07102 | 2012-01-24 |
| 1326351271 | Michal Gajewski | Anesthesiology | 185 S. Orange Ave., Msb E-538, Newark, NJ 07103 | 2010-07-21 |
| 1336374149 | Daisy Munoz | Anesthesiology | 651 N 6th St, Newark, NJ 07107-2505 | 2009-05-22 |
| 1043453657 | Da Wang | Anesthesiology | 185 S Orange Ave Rm E-538, Newark, NJ 07103-2757 | 2009-04-13 |
| 1609020049 | Corazon G. Tablang Md PC | Anesthesiology | 10 Darwin Dr Ste C, Darwin Professional Center, Newark, DE 19711-6658 | 2008-11-12 |
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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.