MR. MICHAEL C MCCONNELL (NPI# 1962460998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962460998 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL C MCCONNELL |
| Credential | CRNA |
| Practice Address |
1407 Union Ave Suite 200 Memphis TN 38104-3600 |
| Mailing Address |
1407 Union Ave Suite 640 Memphis TN 38104-3627 |
| Practice Telephone | 9018668813 |
| Practice Fax Number | 9013022120 |
| Mailing Telephone | 9018668360 |
| Mailing Fax Number | 9013022360 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9302 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID W/MAA | 0116747 | 01 |
| TN | MEDICAID W/MAA | 3607660 | 01 |
| TN | RAILROAD MEDICARE W/MAA | 430056979 | 01 |
| TN | MEDICARE W/MAA | 3607663 | 01 |
| TN | BLUE CROSS W/MAA | 4010460 | 01 |
| TN | 3607664 | 05 | |
| MO | MEDICAID W/MAA | 915066112 | 01 |
| AR | MEDICAID W/MAA | 136280701 | 01 |
| AR | BLUE CROSS W/MAA | 98469 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466295 | Michael John Mcconnell | Pharmacist | 1087 Mckinley Ave, Johnstown, PA 15905-4321 | 2020-08-05 |
| 1508906728 | Michael Vincent Mcconnell | Internal Medicine | 300 Pasteur Dr # H-2157, Stanford University Medical Center, Stanford, CA 94305-2200 | 2007-02-07 |
| 1538270848 | Michael William Mcconnell | Dentist | 500 Lincoln Park Blvd Ste 206, Kettering, OH 45429-3479 | 2006-08-31 |
| 1679523435 | Michael E Mcconnell | Pediatrics | 202 Village Ctr Parkway, Stockbridge, GA 30281 | 2006-05-11 |
| 1710986518 | Michael Mcconnell | Chiropractor | 16730 N Market Place Blvd, Nampa, ID 83687-7909 | 2005-07-14 |
| 1235746678 | Michael Robert Mcconnell | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1881047835 | Michael Mcconnell | Psychologist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-07-14 |
| 1700139821 | Michael Roy Mcconnell | Chiropractor | 951 W 21st St, Norfolk, VA 23517-1534 | 2012-10-26 |
| 1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
| 1912288929 | Michael William Mcconnell | Pharmacist | 1925 W Market St, Akron, OH 44313-6911 | 2011-09-02 |
| Street Address |
1407 UNION AVE SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| 1336441419 | Shane W. Coughlin | Emergency Medicine | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1215469416 | Victoria Peacock | Nurse Anesthetist, Certified Registered | 6455 Poplar Ave, Apt 302, Memphis, TN 38119-4875 | 2017-03-28 |
| 1740733781 | Joshua Donnan | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ofc, Suite 150, Memphis, TN 38119-0800 | 2016-07-26 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285901173 | Independent Anesthesia Services | Nurse Anesthetist, Certified Registered | 5179 Gwynne Rd, Memphis, TN 38117-3419 | 2011-11-21 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| 1699005975 | Robert S Chamblee | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy Suite 330, Memphis, TN 38120 | 2010-01-08 |
| 1558528562 | Shannon Bontemps | Nurse Anesthetist, Certified Registered | 111 Harbor Ridge Ln S, Memphis, TN 38103-0843 | 2008-05-19 |
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1710163092 | Laura E Hartzell | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2008-01-16 |
| Find all providers in MEMPHIS | ||||
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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.