Glen M Cavalier
LIFELINC ANESTHESIA PLLC


Address: 15200 Community Rd, Gulfport, MS 39503-3085
Phone: 2285757000

Glen M Cavalier (NPI# 1043288541, PAC ID# 3274573357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1043288541
PAC ID by PECOS 3274573357
Professional Enrollment ID I20080111000530
Full Name Glen M Cavalier
Organization Legal Name LIFELINC ANESTHESIA PLLC
Address 15200 Community Rd
Gulfport
MS 39503-3085
Phone Number 2285757000
Gender M
Credential CNA
Graduation Year 2004
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 0941347447
Number of Group Practice Members 165
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250123 GARDEN PARK MEDICAL CENTER

Other Locations

Address Phone Organization
15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483 2288310204 GULFPORT ANESTHESIA SERVICES PA
15200 Community Rd, Gulfport, MS 39503-3085 2285757000 LIFELINC ANESTHESIA PLLC

Organization Information

Organization Legal Name LIFELINC ANESTHESIA PLLC
Physicians 151

Physicians with the same organization

Name Specialty Organization Address
Michael Kopinski Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933
Joshua M Lemay Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 320 W 18th St, Hopkinsville, KY 42240-1965
Thomas A Opilka Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 2200 Union Ave, Memphis, TN 38104-4205
Micah Best Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 5350 Poplar Ave, Suite 900, Memphis, TN 38119-3699
Mary A Hall Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 9140 Hwy 51 N, Southaven, MS 38671-1233
Gregory L Thompson Anesthesiology Lifelinc Anesthesia Pllc 2301 S Lamar Blvd, Lifelinc Anesthesia Pllc, Oxford, MS 38655-5373
David Bruce Mcmindes Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 804 Snow Hill Rd, Salisbury, MD 21804-1938
Susan Coach Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 4805 Montgomery Rd, Suite 140, Norwood, OH 45212-2281
Eric D Hutto Anesthesiology Lifelinc Anesthesia Pllc 611 Alcorn Dr, Corinth, MS 38834-9321
Christopher Harrison Wright Certified Registered Nurse Anesthetist (crna) Lifelinc Anesthesia Pllc 1200 N State St, Suite 270, Jackson, MS 39202-2027

Office Location

Street Address 15200 COMMUNITY RD
City GULFPORT
State MS
Zip 39503-3085

Physicians in the same location

Name Specialty Organization Address
Zachary P Funk Emergency Medicine Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Brandi R Garris Nurse Practitioner Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Christopher L Smelley Emergency Medicine Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Joshua Nathaniel Burkhardt Emergency Medicine Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Truong V Nguyen Nurse Practitioner Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Jeffrey Tipton Nurse Practitioner Keystone Hospitalist Services of Ms Inc 15200 Community Rd, Gulfport, MS 39503-3085
Jessica Lee Nurse Practitioner Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Michael Rehor Nurse Practitioner Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
Timothy B Skelton Internal Medicine Garden Park Physician Group Inc 15200 Community Rd, Gulfport, MS 39503-3085
Jennifer Duncan Nurse Practitioner Keystone Medical Services of Gulfport Inc 15200 Community Rd, Gulfport, MS 39503-3085
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Physicians in the same zip code

Name Specialty Organization Address
Jonathan Dwaine Brown Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Clarence Ray Quave Jr. Physical Therapy Encore Rehabilitation Inc 15476 B Dedeaux Rd, Gulfport, MS 39503-2637
Cherryl D Purvis Nurse Practitioner Heart Hypertension Cholesterol and Diabetes Care LLC 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Joseph M Frame Physical Therapy 15444 Dedeaux Rd A, Gulfport, MS 39503-2637
Ricky D Roach Podiatry 15476 Dedeaux Rd, Gulfport, MS 39503-2637
Henry T Leis Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Ophelia Abrahams Occupational Therapy Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Jason Lowery Physician Assistant Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Eric Jason Graham Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Nicole Lynn Johnson Nurse Practitioner Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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