CAPITOL ANESTHESIA SERVICES P.A. (NPI# 1962446781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962446781 |
| Entity Type | Organization |
| Organization Name | CAPITOL ANESTHESIA SERVICES P.A. |
| Practice Address |
2854 Highway 55 Suite 130 Eagan MN 55121-1405 |
| Practice Telephone | 6518423344 |
| Practice Fax Number | 6518423391 |
| Mailing Telephone | 6518423344 |
| Mailing Fax Number | 6518423391 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | KEITH L THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 6518423344 |
| Authorized Official Credential | CRNA |
| 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 |
| Street Address |
2854 HIGHWAY 55 SUITE 130 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730485582 | Lake City Family Physicians PC | Family Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2011-01-26 |
| 1306149539 | Kathryn Susan Eisenmenger Fuentes | Physician Assistant | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2010-12-09 |
| 1841590767 | One T Counseling, Consultation, Training, Publishing & Productions | Counselor | 2854 Highway 55, Suite 130, Eagan, MN 55121-1776 | 2010-10-26 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1023274479 | Lyle J. Swenson, M.d, P.a | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-05 |
| 1619138849 | Alec David Otteman | Internal Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2008-06-20 |
| 1316130560 | Hodges Surgical Clinic, P.a. | Clinic/Center | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2007-08-21 |
| 1659396000 | David J Ridley | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-13 |
| 1154354751 | Joan M Beard | Nurse Practitioner | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| 1053344788 | St Paul Rheumatology P A | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
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| 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 |
|---|---|---|---|---|
| 1104358464 | Summit Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Drive, Suite 300, Eagan, MN 55121-1466 | 2017-03-28 |
| 1649668633 | Sarah Wisdom | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 3005121, Eagan, MN 55121-1138 | 2014-12-29 |
| 1811966864 | Diane Louise Deigmann | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121-1138 | 2006-03-14 |
| 1639145899 | Nancy Ann Jameson | Nurse Anesthetist, Certified Registered | 4299 Westchester Cir, Eagan, MN 55123-3048 | 2006-02-27 |
| 1124293915 | Jessica L Khan | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121-1138 | 2008-04-23 |
| 1154427961 | Scott M Rieken | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121-1138 | 2006-09-16 |
| 1295794816 | Kimberly Ann Hill | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121-1138 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
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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.