COMPLETE ANESTHESIA CARE LLC


Address: 1130 Nw 22nd Ave, Suite 615, Portland, OR 97210-2900
Phone: 5032297137

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).

Provider Overview

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

Taxonomy

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

Other Data Sources

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

Office Location

Street Address 1130 NW 22ND AVE
SUITE 615
City PORTLAND
State OR
Zip Code 97210-2900

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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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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