JOHN BRUCE FORTNER JR. (NPI# 1972738987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972738987 |
| Entity Type | Individual |
| Full Name | JOHN BRUCE FORTNER JR. |
| Credential | CRNA |
| Practice Address |
1000 Pole Creek Crossing Sidney NE 69162-2900 |
| Mailing Address |
103 Washington Cir Senath MO 63876-9219 |
| Practice Telephone | 3082545825 |
| Mailing Telephone | 5737382199 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 101556 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 POLE CREEK CROSSING |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736963 | Cheyenne County Hospital Association Inc | Emergency Medicine | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2006-10-20 |
| 1437549847 | Jared M Barjenbruch | Physician Assistant | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2015-01-23 |
| 1669890042 | April Smith | Internal Medicine | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2014-04-02 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1386082782 | Yohanes T. Tot | Physician Assistant | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2013-06-06 |
| 1184935025 | Kelly Joseph Casey | Surgery | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2010-06-25 |
| 1033360698 | Francelia Jo Barnes | Physician Assistant | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| Find all providers in zip 69162 | ||||
| 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 |
|---|---|---|---|---|
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1326041807 | Robert Lee Barrett Jr. | Nurse Anesthetist, Certified Registered | 2980 3rd St Nw, D7, Sidney, MT 59270-5810 | 2005-05-27 |
| 1184190001 | R&p Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2018-10-18 |
| 1619405263 | Kory Krahl | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2017-05-26 |
| 1295270346 | Nathaniel Clark | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-12-28 |
| 1295151025 | Craig S Sandberg | Nurse Anesthetist, Certified Registered | 645 Osage St, Sidney Regional Medical Center, Sidney, NE 69162-1714 | 2014-03-18 |
| 1417278086 | Michael Shane Murphy | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2010-06-18 |
| 1952313843 | Thomas Dale Spiers Jr. | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-08-12 |
| 1275558199 | Bradley Lynn Strupp | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-07-13 |
| 1346272184 | David P Brown | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-07-06 |
| Find all providers in SIDNEY | ||||
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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.