CARLSBAD ANESTHESIA SERVICES LLC (NPI# 1043555204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043555204 |
| Entity Type | Organization |
| Organization Name | CARLSBAD ANESTHESIA SERVICES LLC |
| Practice Address |
2430 W Pierce St Carlsbad NM 88220-3553 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 6608265960 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | ROBERT CLEMENS (CEO) |
| Authorized Official Telephone | 6608265960 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 20234023 | 05 |
| Street Address |
2430 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723494 | Daniel Forest Taylor | Family Medicine | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2005-07-11 |
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1578027710 | Cassandra Groves | Registered Nurse | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2019-01-22 |
| 1578046181 | Cally Vetter | Dietitian, Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-09-10 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1467956862 | Courtney Allison Wittkower | Physical Therapist | 2430 W Pierce St, Carlsbad, NM 88220-3597 | 2018-03-20 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1053827832 | Cameron Scott Peterson | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-12-15 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720525850 | Jeffrey Steinberg | Anesthesiology | 2758 La Costa Ave, Carlsbad, CA 92009-7326 | 2017-01-27 |
| 1841634797 | Ngoc B Truong | Anesthesiology | 6010 Hidden Valley Rd Ste 110, Carlsbad, CA 92011-4219 | 2013-04-23 |
| 1538174198 | Kean S. Ganan | Anesthesiology | 655 Laguna Dr, Carlsbad, CA 92008-1610 | 2006-07-30 |
| 1033154240 | Oscar A. Cepero | Anesthesiology | 7904 Vista Canela, Carlsbad, CA 92009-2911 | 2006-06-19 |
| 1972585313 | Isaac Gooding | Anesthesiology | Box 555191, Naval Hospital Camp Pendleton, Attn: Anesthesiology, Carlsbad, CA 92055-5191 | 2005-11-18 |
| 1023474087 | Pierre R Lotzof M D Inc | Anesthesiology | 6121 Paseo Del Norte, Suite 100, Carlsbad, CA 92011-1161 | 2016-01-06 |
| 1447419833 | Yogesh V Patel | Anesthesiology | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 | 2008-06-02 |
| 1710925235 | Paul M Mailander | Anesthesiology | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-06-04 |
| 1831145945 | Lida Cristina Trillos | Anesthesiology | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-05-26 |
| 1801850649 | Alexander V Shydohub | Anesthesiology | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-04-17 |
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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.