MR. HARRY RAFAEL SEVILLA ABILLA (NPI# 1053331546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053331546 |
| Entity Type | Individual |
| Full Name | MR. HARRY RAFAEL SEVILLA ABILLA |
| Credential | NP-C, CRNA, MSN |
| Practice Address |
310 North Davis Street Lagrange GA 30240 |
| Mailing Address |
302 Horizon Hl Newnan GA 30265-5680 |
| Practice Telephone | 7068124068 |
| Mailing Telephone | 6788760694 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN181018 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN181018 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
310 NORTH DAVIS STREET |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1700400272 | Jared K Angstadt | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-06-01 |
| 1588986335 | Brian Scott Vickery | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-02-22 |
| 1265674402 | Pamela G Miller | Nurse Anesthetist, Certified Registered | 1805 Vernon Rd, Suite C, Lagrange, GA 30240-3871 | 2009-04-02 |
| 1205902699 | Susan L Braddy | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2006-11-28 |
| 1033298211 | Patricia D Anderson | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2006-11-06 |
| 1326126681 | Greater Louisville Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 1025 New Moody Ln, C/o Baptist Hospital Northeast, Lagrange, KY 40031-9154 | 2006-11-02 |
| 1235214677 | Kay Wright | Nurse Anesthetist, Certified Registered | 5101 S. Willow Springs Rd., Lagrange, IL 60525 | 2006-10-26 |
| 1144305582 | Patricia Multack | Nurse Anesthetist, Certified Registered | 5101 S. Willow Springs Rd., Lagrange, IL 60525 | 2006-10-26 |
| 1811081649 | Jonathan D Laverty | Nurse Anesthetist, Certified Registered | 1025 New Moody Ln, Lagrange, KY 40031-9154 | 2006-10-03 |
| 1346259090 | Christopher Byron White | Nurse Anesthetist, Certified Registered | 1025 New Moody Ln, Lagrange, KY 40031-9154 | 2006-08-05 |
| Find all providers in LAGRANGE | ||||
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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.