Kentry S Adams (NPI# 1376542803, PAC ID# 4587671250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376542803 |
| PAC ID by PECOS | 4587671250 |
| Professional Enrollment ID | I20090820000624 |
| Full Name | Kentry S Adams |
| Organization Legal Name | MISSION NURSING ANESTHESIA, INC. |
| Address |
410 Pilgrim Blvd Hartford City IN 47348-1382 |
| Phone Number | 7653480300 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9436459278 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190044 | ACADIA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1305 Crowley Rayne Hwy, Crowley, LA 70526-8202 | 3377833222 | PARISH ANESTHESIA OF LAFAYETTE, LLC |
| 3501 Hwy 190, Eunice, LA 70535-5129 | 3374682767 | EUNICE ANESTHESIOLOGY GROUP LLC |
| 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 7653480300 | MISSION NURSING ANESTHESIA, INC. |
| 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 3372897991 | PARISH ANESTHESIA OF LAFAYETTE, LLC |
| Organization Legal Name | MISSION NURSING ANESTHESIA, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Frizzell | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Kurt D Cao | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Craig Marshall Johnson | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Enrique F Molina | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Byron R Aprecio | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Street Address |
410 PILGRIM BLVD |
| City | HARTFORD CITY |
| State | IN |
| Zip | 47348-1382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Frizzell | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Chantel S Willmann | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Enrique F Molina | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Mark A Haggenjos | Family Medicine | Indiana University Health Ball Memorial Physicians Inc | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Donald W Hunsberger | Anesthesiology | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meleah R Robertson | Chiropractic | Clear Chiropractic Indiana, LLC | 1501 N Walnut St, Hartford City, IN 47348-1343 |
| Oakland Gaerke | Chiropractic | Clear Chiropractic Indiana, LLC | 1501 N Walnut St, Hartford City, IN 47348-1343 |
| Kyra Dawn Kempher | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Jennifer L Clamme | Internal Medicine | 124 N Jefferson St, Hartford City, IN 47348-2201 | |
| Brandy Raeann Smith | Physician Assistant | Reliant Healthcare LLC | 124 N Jefferson St, Hartford City, IN 47348-2201 |
| Craig A Ford | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| Richard Windsor | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| Laura Windsor | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| City | HARTFORD CITY |
| Zip Code | 47348 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HARTFORD CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.