PREMIUM ANESTHESIA, PLLC (NPI# 1013449750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013449750 |
| Entity Type | Organization |
| Organization Name | PREMIUM ANESTHESIA, PLLC |
| Practice Address |
8015 Shoal Creek Blvd Ste 100 Doing Business At Center for Special Surgery Austin TX 78757-8051 |
| Mailing Address |
Po Box 153608 Lufkin TX 75915-3608 |
| Practice Telephone | 9366393036 |
| Mailing Telephone | 9366393036 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | KIMBERLY A RUSSELL (CEO) |
| Authorized Official Telephone | 5124132425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8015 SHOAL CREEK BLVD STE 100 DOING BUSINESS AT CENTER FOR SPECIAL SURGERY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| 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 |
|---|---|---|---|---|
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| 1265969372 | Omar Garcia | Nurse Anesthetist, Certified Registered | 4100 Duval Rd Ste 100, Austin, TX 78759-3550 | 2017-05-19 |
| 1033662754 | Eliza Lacour | Nurse Anesthetist, Certified Registered | 111 Sandra Muraida Way, Apt 13j, Austin, TX 78703-4694 | 2016-07-28 |
| 1427405810 | Austin Gastroenterology Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 4310 James Casey St Ste 4b, Austin, TX 78745-1120 | 2016-05-16 |
| 1568829521 | Monica Natividad | Nurse Anesthetist, Certified Registered | 6104 Belfast Dr, Austin, TX 78723-1835 | 2016-01-21 |
| 1356602007 | Melissa Deshotels | Nurse Anesthetist, Certified Registered | 8140 N. Mopac, #3-210, Austin, TX 78759 | 2012-05-30 |
| 1457640278 | Eag Healthcare LLC | Nurse Anesthetist, Certified Registered | 4330 Gaines Ranch Loop, Suite 220, Austin, TX 78735-6733 | 2011-04-01 |
| 1285769505 | Breanna D. Sweeney | Nurse Anesthetist, Certified Registered | 8140 N Mo Pac Expy Ste 3-210, Austin, TX 78759-8862 | 2007-02-23 |
| 1538205810 | Linda Tetrick | Nurse Anesthetist, Certified Registered | 1250 Capitol of Texas Hwy S, Bldg 3 Suite 380, Austin, TX 78746 | 2007-01-30 |
| 1467488874 | Sharon Brinker Heiss | Nurse Anesthetist, Certified Registered | 900 Old Koenig Ln, Austin, TX 78756-1528 | 2006-06-25 |
| Find all providers in AUSTIN | ||||
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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.