COMPLETE ANESTHESIA CARE LLC (NPI# 1932464492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932464492 |
Entity Type | Organization |
Organization Name | COMPLETE ANESTHESIA CARE LLC |
Practice Address |
1130 Nw 22nd Ave Suite 615 Portland OR 97210-2900 |
Mailing Address |
Po Box 4860 Murrells Inlet SC 29576-2698 |
Practice Telephone | 5032297137 |
Practice Fax Number | 5032410628 |
Mailing Telephone | 8436512624 |
Mailing Fax Number | 8433574940 |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |
Authorized Official Name | ROLAND WILLIAM BENNETTS (OWNER) |
Authorized Official Telephone | 5032297137 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | COMPLETE ANESTHESIA CARE LLC | 1130 Nw 22nd Avenue Suite 410, Portland, OR 97210 |
Street Address |
1130 NW 22ND AVE SUITE 615 |
City | PORTLAND |
State | OR |
Zip Code | 97210-2900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689677445 | Evonne Maria Kandas | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2005-05-24 |
1346756269 | Erin P O'hollaren | Registered Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-12-15 |
1366967879 | Vladimir Nikolayevich Chernyshev | Licensed Practical Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-08-04 |
1659802650 | Paula J. Staab | Dietitian, Registered | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2017-03-22 |
1447604566 | Lori Eckel | Social Worker | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2016-04-14 |
1245660414 | Margarita Damaso-sahari | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2013-11-25 |
1033478409 | Megan N Stack | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2012-05-04 |
1730455304 | Nancy M Oswald | Social Worker | 1130 Nw 22nd Ave, Suite 345, Portland, OR 97210-2900 | 2012-03-28 |
1992090112 | Onyekachi Ogbonna | Internal Medicine | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2011-06-15 |
1386935609 | Carmen M Doom | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 | 2011-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
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 |
---|---|---|---|---|
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
1942695770 | 10th Planet LLC | Nurse Anesthetist, Certified Registered | 2125 Se Oak St, Portland, OR 97214-1606 | 2015-03-30 |
1407120926 | Reynaldo D Calaro Jr. | Nurse Anesthetist, Certified Registered | 6919 N Commercial Ave, Portland, OR 97217-1713 | 2012-03-01 |
1922376557 | Jacob Andre Mclain | Nurse Anesthetist, Certified Registered | 3736 Se Cora St, Portland, OR 97202-3238 | 2011-12-10 |
1639476153 | Emily Kathryn Goerke | Nurse Anesthetist, Certified Registered | 6400 Se Lake Road, Suite 130, Anesthesia Associates Northwest, Portland, OR 97222 | 2011-02-18 |
1770727158 | Michael Angelo Tantay | Nurse Anesthetist, Certified Registered | 125 Nw 20th Place, Unit No 511, Portland, OR 97209-1042 | 2009-04-29 |
1174722888 | Scott A Jolliffe | Nurse Anesthetist, Certified Registered | 9701 Sw Barnes Rd Ste 310, Portland, OR 97225-6689 | 2007-07-12 |
1518015551 | Anne D Sherwood | Nurse Anesthetist, Certified Registered | 1401 Se 52nd Ave, Portland, OR 97215-2638 | 2007-01-08 |
1043324635 | Bonnie Helen O'hara | Nurse Anesthetist, Certified Registered | Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-08-19 |
Find all providers in PORTLAND |
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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.