MR. MICHAEL PAUL BROUSSARD


Address: 22 S Greene St, Baltimore, MD 21201-1544
Phone: 4103286704

MR. MICHAEL PAUL BROUSSARD (NPI# 1043491921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043491921
Entity Type Individual
Full Name MR. MICHAEL PAUL BROUSSARD
Credential CRNA
Practice Address 22 S Greene St
Baltimore
MD 21201-1544
Mailing Address Po Box 64795
Baltimore
MD 21264-4795
Practice Telephone 4103286704
Practice Fax Number 4103284124
Mailing Telephone 4103286704
Mailing Fax Number 4103284124
Enumeration Date 2007-11-19
Last Update Date 2008-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R133503 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL BROUSSARD

NPI Name Taxonomy Address Enumeration
1639444383 Michael Anthony Broussard Physician Assistant Cmr 457 Box 2169, Apo, AE 09033 2012-03-14
1699890376 Michael L Broussard Internal Medicine 2770 3rd Ave Ste 210, Lake Charles, LA 70601-0404 2007-03-20
1063966026 Michael Broussard Specialist 1326 Church St, Zachary, LA 70791-2743 2016-08-08

Office Location

Street Address 22 S GREENE ST
City BALTIMORE
State MD
Zip Code 21201-1544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750383063 Malinda Daniel Duke Nurse Practitioner 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 2005-06-01
1891396784 Tamara Wiseman Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2020-11-05
1063012664 Shawna Marie Hutton Registered Nurse 22 S Greene St, Baltimore, MD 21201-1590 2020-11-01
1124625413 Kerry Ann Lambert Pharmacist 22 S Greene St, Baltimore, MD 21201-1590 2020-10-08
1730786104 Joseph William Russo Pediatrics 22 S Greene St, Baltimore, MD 21201-1590 2020-10-07
1295342327 Leah Marie Dubose Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2020-09-23
1275147167 Rosalynn Joy Allen Registered Nurse 22 S Greene St, Baltimore, MD 21201-1590 2020-09-08
1174137269 Keiara Williams Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2020-09-04
1699389858 Caitlin Lauren Thomas Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2020-09-04
1639782568 Anna Pfouts Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2020-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
Find all providers in zip 21201

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225666977 Sheena Alisha Abraham Nurse Anesthetist, Certified Registered Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 2020-03-30
1871140889 Satellite Anesthesia LLC Nurse Anesthetist, Certified Registered 5602 Baltimore National Pike Ste 600, Baltimore, MD 21228-1409 2019-08-23
1205390804 Lindsay Rae Smiler Nurse Anesthetist, Certified Registered 512 S Lakewood Ave, Baltimore, MD 21224-3822 2019-01-28
1598216343 Kristen Horsman Nurse Anesthetist, Certified Registered 9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902 2016-10-17
1144686791 Seenia Mathew Nurse Anesthetist, Certified Registered 10 N Greene St # 5a219, Baltimore, MD 21201-1524 2016-01-12
1538540943 Carla Perez-colon Nurse Anesthetist, Certified Registered 600 N. Wolfe St., Blalock 1410, John Hopkins Hospital / Division of Nurse Anesthesia, Baltimore, MD 21287 2015-06-11
1659751097 Kelsey Leonard Nurse Anesthetist, Certified Registered 600 N Wolfe St, Blalock 1410, Baltimore, MD 21287-0005 2015-06-01
1265824791 Kristina Medina Shaver Nurse Anesthetist, Certified Registered 660 N. Wolfe Street, Baltimore, MD 21287 2015-02-20
1598153736 Melissa Hindle Nurse Anesthetist, Certified Registered 7308 N Dakota Ave, Baltimore, MD 21219-2148 2014-12-22
1982027090 Teckla Chude Nurse Anesthetist, Certified Registered 913 Morton St Apt 4, Baltimore, MD 21201-5327 2014-01-24
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21201

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Dataset Information

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.

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