CITADEL ANESTHESIOLOGY, LLC (NPI# 1912315250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912315250 |
| Entity Type | Organization |
| Organization Name | CITADEL ANESTHESIOLOGY, LLC |
| Practice Address |
718 Silver Mist Way Canton GA 30114-8832 |
| Practice Telephone | 7708331422 |
| Mailing Telephone | 7708331422 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Authorized Official Name | MR. WESLEY ERIC KARCHER (PRESIDENT) |
| Authorized Official Telephone | 7708331422 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 68419 | GA | Allopathic & Osteopathic Physicians |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN169969 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
718 SILVER MIST WAY |
| City | CANTON |
| State | GA |
| Zip Code | 30114-8832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1396264040 | Brandi Hanchosky | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw # 100, Canton, OH 44718-3673 | 2017-09-13 |
| 1952841637 | Andrew Joseph Proctor | Nurse Anesthetist, Certified Registered | 800 Pheasant Woods Drive, Canton, MI 48188-5224 | 2017-03-01 |
| 1083166383 | Khushbu Modi | Nurse Anesthetist, Certified Registered | 276 Harmony Lake Dr, Canton, GA 30115-4781 | 2016-11-03 |
| 1760930572 | Branden Joaquin Sibley | Nurse Anesthetist, Certified Registered | 6889 Wales Crossing St Nw Apt D, Canton, OH 44720-5383 | 2016-09-21 |
| 1366845554 | Mississippi Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 145 Sanctuary Ln, Canton, MS 39046-6601 | 2014-10-01 |
| 1104236884 | Anne Elizabeth Murray | Nurse Anesthetist, Certified Registered | 173 Dedham St, Canton, MA 02021-1560 | 2014-05-02 |
| 1952593865 | Brett T King | Nurse Anesthetist, Certified Registered | 208 Towne Overlook Dr, Canton, GA 30114-7239 | 2007-08-14 |
| 1184767436 | Sed 8 Inc. | Nurse Anesthetist, Certified Registered | 1017 Field St Nw, Canton, OH 44709-1635 | 2007-02-15 |
| 1144246190 | Elfrieda Marie Londeree | Nurse Anesthetist, Certified Registered | Ohio Hospital Based Physician Corp, 2600 Sixth Street Sw, Canton, OH 44710 | 2006-07-14 |
| 1528010675 | Brian K Norcia | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2006-05-17 |
| Find all providers in CANTON | ||||
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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.