MR. RUSSELL E DUBOSE (NPI# 1023057239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023057239 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL E DUBOSE |
| Credential | CRNA |
| Practice Address |
3201 S Water St Burnet TX 78611-4510 |
| Mailing Address |
Po Box 1219 Burnet TX 78611-7219 |
| Practice Telephone | 5127153000 |
| Practice Fax Number | 5127566405 |
| Mailing Telephone | 5127153000 |
| Mailing Fax Number | 5127566405 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 248885 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID PIN - GROUP | 220520501 | 01 |
| TX | MEDICARE PIN - GROUP | 00405R | 01 |
| Street Address |
3201 S WATER ST |
| City | BURNET |
| State | TX |
| Zip Code | 78611-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864158 | Robert Lee Harding Jr. | Emergency Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2006-05-04 |
| 1033567052 | Jaclyn Ngoc Minh Nguyen | Emergency Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2016-05-31 |
| 1912304411 | Seton Healthcare Family | General Acute Care Hospital | 3201 S Water St, Burnet, TX 78611-4510 | 2014-11-26 |
| 1326337049 | Jacob T. Smigel | Emergency Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2011-04-04 |
| 1356651806 | Karen Elizabeth Matcek | Nurse Practitioner | 3201 S Water St, Burnet, TX 78611-4510 | 2010-10-18 |
| 1912223660 | David Tao-way Lim | Emergency Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2010-04-19 |
| 1508064106 | Seton Medical Group | Family Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2007-07-05 |
| 1447455860 | Jared Amnard Vorachard | Emergency Medicine | 3201 S Water St, Burnet, TX 78611-4510 | 2007-06-16 |
| 1568520864 | Chandra E Irvin | Nurse Practitioner | 3201 S Water St, Seton Highland Lakes Care-a-van, Burnet, TX 78611-4510 | 2006-12-05 |
| 1265530836 | John Mark Marrs | Nurse Anesthetist, Certified Registered | 3201 S Water St, Burnet, TX 78611-4510 | 2006-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275884561 | Valley View Circle of Hands, Inc | In Home Supportive Care | 301 B West Polk, Burnet, TX 78611 | 2012-09-26 |
| 1407156441 | Roy Lee Murray | Pharmacist | 105 S. Boundary, Burnet, TX 78611 | 2010-10-25 |
| 1164734059 | Cardiovascular Specialists of Texas | Internal Medicine | 206 Cr 340-a, Bldg. 4, Ste. A, Burnet, TX 78611 | 2010-07-08 |
| 1881851889 | Brenda Dawn Hinman Mcilroy | Obstetrics & Gynecology | 200 W John Hoover Pkwy, Bldg 3, Ste D, Burnet, TX 78611 | 2008-05-19 |
| 1306023114 | Matthew Thomas Smetanick | Dermatology | 200 John Hoover Pkwy, Bldg 4, Suite B, Burnet, TX 78611 | 2008-01-23 |
| 1033299482 | John Baptiste Litterer | Dentist | 520 Buchanan Drive, Burnet, TX 78611 | 2006-10-17 |
| 1275629479 | Camille Hemlock | Internal Medicine | 3201 South Water St, Seton Highland Lakes, Burnet, TX 78611 | 2006-10-05 |
| 1962511386 | H-e-b, Lp | Pharmacy | 105 S Boundary St, Burnet, TX 78611 | 2006-08-30 |
| 1932119674 | Shri Gokul Drugs LLC | Pharmacy | 608 Buchanan Dr, Burnet, TX 78611 | 2006-08-08 |
| 1023074457 | Charles Richard Fox | Specialist | 1000 The Green Mile, Burnet, TX 78611 | 2006-04-25 |
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| 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 |
|---|---|---|---|---|
| 1265530836 | John Mark Marrs | Nurse Anesthetist, Certified Registered | 3201 S Water St, Burnet, TX 78611-4510 | 2006-09-20 |
| 1417979014 | Seton Family of Hospitals | Nurse Anesthetist, Certified Registered | 3201 S Water St, Burnet, TX 78611-4510 | 2006-07-24 |
| 1861433583 | David Heatley | Nurse Anesthetist, Certified Registered | 3201 S Water St, Burnet, TX 78611-4510 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
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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.