SOUTHERN COLORADO CRNA ASSOCIATES INC (NPI# 1043538382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043538382 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Practice Address |
4100 Jerry Murphy Rd Pueblo CO 81001 |
| Mailing Address |
400 10th St E Waconia MN 55387-4552 |
| Practice Telephone | 8882090305 |
| Practice Fax Number | 9524423620 |
| Mailing Telephone | 8882090305 |
| Mailing Fax Number | 9524423620 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-08-24 |
| Authorized Official Name | DAVID ALLAN HUDSON (PRESIDENT) |
| Authorized Official Telephone | 3036187309 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6246 S Ash Cir E, Centennial, CO 801213132 | 7205291218 | 3037792650 |
| 7353 Sisters Grv, Colorado Springs, CO 809232615 | 8882900305 | 9524423620 |
| 3530 E Spaulding Ave, Pueblo, CO 810082209 | 8882090305 | 9524423620 |
| Street Address |
4100 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679144 | Alan Wyche Bickel | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2005-06-20 |
| 1437549359 | Center of Surgical Excellence, LLC | Clinic/Center | 4100 Jerry Murphy Rd, Suite B, Pueblo, CO 81001-1046 | 2015-01-30 |
| 1720386139 | Donald C. Luebke M.d. PC | Durable Medical Equipment & Medical Supplies | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2011-03-09 |
| 1164668216 | Southern Colorado Anesthesia Professional LLC | Anesthesiology | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2008-12-19 |
| 1013117092 | Eric Richter | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-07-19 |
| 1225234065 | Elp L.l.c | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-06-26 |
| 1750489407 | Donald Clifton Luebke | Surgery | 4100 Jerry Murphy Rd, Pueblo, CO 81001 | 2006-09-20 |
| 1487692141 | Donna Lamont | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2006-06-03 |
| 1316942881 | Vicky J Higgins | Nurse Practitioner | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
| 1104821677 | Richard Lee Brownrigg | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1245620830 | Tori Taylor | Nurse Anesthetist, Certified Registered | 112 W D St Ste 210-a, Pueblo, CO 81003-3461 | 2015-02-03 |
| 1437417748 | Trevor R Willardson | Nurse Anesthetist, Certified Registered | 400 West 16th, Pueblo, CO 81003-2828 | 2012-04-25 |
| 1790979219 | Elizabeth Gillum Wentling | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003 | 2007-08-28 |
| 1881899755 | Serena M. Ackerman | Nurse Anesthetist, Certified Registered | 400 West 16th Street, Pueblo, CO 81003-2745 | 2007-06-19 |
| 1255432555 | Leah Sue Carpenter | Nurse Anesthetist, Certified Registered | 1218 N Main St, Pueblo, CO 81003-2828 | 2006-09-26 |
| 1598794190 | Rex Lawrence Dillehay | Nurse Anesthetist, Certified Registered | 1828 Chianti Ct, Pueblo, CO 81001-9700 | 2006-07-03 |
| 1740248079 | Dena Edmunds | Nurse Anesthetist, Certified Registered | 112 W D St, Suite 210-a, Pueblo, CO 81003-3461 | 2006-05-03 |
| 1730157595 | Craig K Suderman | Nurse Anesthetist, Certified Registered | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-03-09 |
| 1821607938 | Lisa C Carter | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003-3123 | 2020-07-24 |
| Find all providers in PUEBLO | ||||
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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.