MR. TERRY RAY BREWER JR. (NPI# 1043410632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043410632 |
| Entity Type | Individual |
| Full Name | MR. TERRY RAY BREWER JR. |
| Credential | CRNA |
| Practice Address |
3024 Stadium Blvd Jonesboro AR 72401-7415 |
| Mailing Address |
Po Box 55990 Little Rock AR 72215-5990 |
| Practice Telephone | 5012270700 |
| Practice Fax Number | 5012270744 |
| Mailing Telephone | 5012270700 |
| Mailing Fax Number | 5012270744 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R54097 | AR | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C02664 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198257 | Terry Brewer | Social Worker | 10731 N State Road 13, Elwood, IN 46036-8874 | 2019-11-15 |
| 1083689095 | Terry J. Brewer | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-2025 | 2006-02-22 |
| Street Address |
3024 STADIUM BLVD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961580 | John Kenneth Phillips | Radiology | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2005-06-08 |
| 1851725147 | Kelley Annette Williamson | Registered Nurse | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2013-08-22 |
| 1013275643 | Lauren Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2012-05-02 |
| 1245522895 | Jeremy G Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2011-05-13 |
| 1679891527 | Joshua Van Pettit | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2010-05-16 |
| 1255659546 | Richard Thomas Sheppard | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2010-05-11 |
| 1538487822 | Jonathan David Crafton | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2010-05-11 |
| 1497989958 | Toby A Stacy | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2009-05-12 |
| 1033372404 | Paul S Blumreich | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2008-07-07 |
| 1609095934 | Reagan Baber | Anesthesiology | 3024 Stadium Blvd, Jonesboro, AR 82401-7415 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1093237182 | Wake Up Satisfied Pa | Nurse Anesthetist, Certified Registered | 2241 Hill Park Cv Ste B, Jonesboro, AR 72401-6251 | 2017-07-11 |
| 1336576784 | Mary Joan Nyaguthii Ndumia | Nurse Anesthetist, Certified Registered | 405 Arrowhead Bvld, Suite C, Jonesboro, GA 30236-1254 | 2013-10-01 |
| 1992034607 | Superior Anesthesia Services | Nurse Anesthetist, Certified Registered | 4921 Inverness Run Dr, Jonesboro, AR 72401-8061 | 2009-12-09 |
| 1821244088 | Chasity C Alcazar | Nurse Anesthetist, Certified Registered | 225 East Jackson, Jonesboro, AR 72401 | 2008-08-07 |
| 1851562029 | Joan Elizabeth Mcalexander | Nurse Anesthetist, Certified Registered | 506 Mockingbird Ln, Jonesboro, AR 72401-7155 | 2008-03-17 |
| 1477571719 | Steven C Fontana | Nurse Anesthetist, Certified Registered | 220 Dunwoody Dr, Jonesboro, AR 72404-8886 | 2006-07-17 |
| 1174555833 | Dennis Wayne King | Nurse Anesthetist, Certified Registered | 446 County Road 7592, Jonesboro, AR 72401-7767 | 2006-07-06 |
| 1326075870 | Arthur Wolover | Nurse Anesthetist, Certified Registered | 1118 Layman Dr, Jonesboro, AR 72404-9095 | 2006-06-27 |
| Find all providers in JONESBORO | ||||
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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.