PROVIDENCE HOSPITAL (NPI# 1992133912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992133912 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOSPITAL |
| Other Organization Name | ANESTHESIA GROUP |
| Practice Address |
6801 Airport Blvd Anesthesia Dept. Mobile AL 36608-3709 |
| Mailing Address |
3687 Wheeler Rd Augusta GA 30909-6521 |
| Practice Telephone | 2516313272 |
| Practice Fax Number | 2516313273 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7063963252 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MR. TODD S. KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 2516331660 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anesthesia Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134584667 | Providence Hospital | Clinic/Center | 3413 Olive Branch Dr, Silver Spring, MD 20904-4973 | 2015-12-29 |
| 1881891372 | Providence Hospital | Chronic Disease Hospital | 16400 N Park Dr Apt 1008, Southfield, MI 48075-4728 | 2007-06-28 |
| 1548486681 | Providence Hospital | General Acute Care Hospital | 10508 Keane Dr, Grass Lake, MI 49240-8803 | 2007-04-17 |
| 1932277050 | Providence Hospital | Rehabilitation Hospital | 6351 Woodside Dr, Theodore, AL 36582-6061 | 2006-11-30 |
| 1861057416 | Providence Hospital | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-05-08 |
| 1861954638 | Providence Hospital | Emergency Medicine | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-04-02 |
| 1710362496 | Providence Hospital | General Acute Care Hospital | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-07-23 |
| 1871922971 | Providence Hospital | Hospitalist | 6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709 | 2013-11-08 |
| 1659707149 | Providence Hospital | General Acute Care Hospital | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2013-09-17 |
| 1649616384 | Providence Hospital | General Acute Care Hospital | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2013-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HOSPITAL | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| System for Award Management (SAM) Entities | PROVIDENCE HOSPITAL AND MEDICAL CENTERS | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Iowa Business Entities | PROVIDENCE HOSPITALITY PARTNERS LLC | 709 Clarkson St, Denver, CO 80218 |
| Colorado Business Entities | PROVIDENCE HOSPITALITY PARTNERS LLC | 1888 N Sherman St, Suite 610, Denver, CO 80203 |
| New York State Corporations | PROVIDENCE HOSPITALITY PARTNERS LLC | 1888 N Sherman St, Suite 610, Denver, Co 80203 |
| Street Address |
6801 AIRPORT BLVD ANESTHESIA DEPT. |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041203 | David R. Hassell | Radiology | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2005-05-24 |
| 1457975708 | Chastity Dawn Huguley | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2020-06-02 |
| 1326690223 | Deanna D Ryan | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-07-10 |
| 1730744012 | Ashly M. Acosta | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-05-02 |
| 1306302948 | Kelsey Sims Welch | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-02-19 |
| 1528532140 | Robert Brooks Stephens Jr. | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3785 | 2019-01-16 |
| 1366913683 | Kristine Boyle | Pharmacist | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-12-15 |
| 1003392036 | Katherine Harrelson | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-07-12 |
| 1952819542 | Brooklyn Hamm | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-01-17 |
| 1033626528 | Lindsey Lovorn Diehl | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790149169 | Madison Petersen | Anesthesiology | 2451 Fillingim St., Mobile, AL 36617-2238 | 2016-04-11 |
| 1518303593 | Integrated Pain Management of Alabama LLC | Anesthesiology | 7860 Cottage Hill Rd, Ste A, Mobile, AL 36695-4102 | 2013-05-16 |
| 1023308087 | Travis Steven Steinke | Anesthesiology | 51 Tacon St Ste D, Mobile, AL 36607-3123 | 2011-04-12 |
| 1730349614 | Ryan Frederick Neil | Anesthesiology | 51 Tacon St, Suite D, Mobile, AL 36607-3123 | 2008-06-13 |
| 1316993454 | Gerald Anthony Mastaw Jr. | Anesthesiology | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-05-26 |
| 1205891967 | Teresa G Walker Md PC | Anesthesiology | 2390 Dauphin St, Mobile, AL 36606-1916 | 2006-04-18 |
| 1467432906 | Robert Dennis Watson Jr. | Anesthesiology | 2451 Usa Medical Center Dr, Mstn 0302, Mobile, AL 36617 | 2006-01-19 |
| 1568453520 | Leigh Ann Overstreet | Anesthesiology | 1 Mobile Infirmary Cir, Mobile, AL 36607-3522 | 2005-10-31 |
| 1285620674 | Gayle S Fredere | Anesthesiology | 6508 Bienville Ct, Mobile, AL 36695-3259 | 2005-09-21 |
| 1881099174 | Anesthesiacare, P.C. | Anesthesiology | 2890 Dauphin St, Mobile, AL 36606-2457 | 2014-10-29 |
| Find all providers in MOBILE | ||||
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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.