PAUL KISUCKY III


Address: 925 S Walnut St, Las Cruces, NM 88001-3955
Phone: 5755236330

PAUL KISUCKY III (NPI# 1932133618) 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) 1932133618
Entity Type Individual
Full Name PAUL KISUCKY III
Credential CRNA
Practice Address 925 S Walnut St
Las Cruces
NM 88001-3955
Mailing Address 205 W Boutz Rd Bldg 1
Las Cruces
NM 88005-3259
Practice Telephone 5755236330
Mailing Telephone 5755327033
Mailing Fax Number 5755567139
Enumeration Date 2006-07-10
Last Update Date 2019-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 583176 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 84581U 01
TX 088570902 05
BCBS OF TEXAS 00C79M 01
TX 088570904 05
BCBS OF TEXAS 86378U 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10500 Vista Del Sol Dr Ste B, El Paso, TX 799257925 9152461352
925 S Walnut St, Las Cruces, NM 880013955 5755236330

Office Location

Street Address 925 S WALNUT ST
City LAS CRUCES
State NM
Zip Code 88001-3955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538719372 Iyamu Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2019-09-13
1790340974 Paul Kisucky LLC Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2019-05-03
1558802371 Redmallet Anesthesia Pllc Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2017-03-13
1750670378 Las Cruces Surgeons Group, LLC Specialist 925 S Walnut St, Las Cruces, NM 88001-3955 2011-04-05
1780981886 Vein Center of Las Cruces, LLC Specialist 925 S Walnut St, Las Cruces, NM 88001-3955 2011-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020044 Three Crosses Regional Hospital LLC General Acute Care Hospital 2560 Samaritan Drive, Las Cruces, NM 88001 2019-12-17
1760961908 Halcyon Health of The Southwest, LLC Nurse Practitioner 1355 California Ave Ste B, Las Cruces, NM 88001 2018-08-08
1255818530 Lago Claro, LLC Counselor 2410 S. Espina St, Las Cruces, NM 88001 2018-07-19
1407371818 Elijah Daniel Perez Behavior Technician 1535 Myrtle Ave, Las Cruces, NM 88001 2017-08-07
1982128641 Krystal Marie Ruiz Psychologist 505 S. Main, Ste. 249, Las Cruces, NM 88001 2017-08-03
1457886913 Mathew Petersen Dds PC Dentist 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 2017-04-21
1801343439 Celia Holmes Registered Nurse 505 S Main, Ste 249, Las Cruces, NM 88001 2016-09-01
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1679987234 Maria De Jesus Martinez Nurse Practitioner 1170 N. Solano Ste A, Las Cruces, NM 88001 2014-06-11
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
Find all providers in zip 88001

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
1235740549 Catherine Elizabeth Boyle Nurse Anesthetist, Certified Registered 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 2020-08-11
1053958066 Jessica Quinteros Nurse Anesthetist, Certified Registered 555 S Telshor Blvd, Las Cruces, NM 88011-8627 2019-12-09
1568866176 Eva Suniga Nurse Anesthetist, Certified Registered 3957 Agua De Vida Dr, Las Cruces, NM 88012-7669 2014-10-10
1043643679 Aaron Villarreal Nurse Anesthetist, Certified Registered 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 2013-08-19
1861028615 Lilia Azucena Goroeoff Nurse Anesthetist, Certified Registered 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-03-12
1235769829 Skyler Murdock Nurse Anesthetist, Certified Registered 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 2020-01-22
1538719372 Iyamu Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2019-09-13
1790340974 Paul Kisucky LLC Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2019-05-03
1740767482 Ike Ikponmwosa Iyamu Nurse Anesthetist, Certified Registered 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 2018-07-25
1558802371 Redmallet Anesthesia Pllc Nurse Anesthetist, Certified Registered 925 S Walnut St, Las Cruces, NM 88001-3955 2017-03-13
Find all providers in LAS CRUCES

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City LAS CRUCES
Zip Code 88001

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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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