MR. LARRY MICHAEL PICKETT (NPI# 1063413813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063413813 |
| Entity Type | Individual |
| Full Name | MR. LARRY MICHAEL PICKETT |
| Credential | CRNA |
| Practice Address |
433 W High St Bryan OH 43506-1690 |
| Practice Telephone | 4196361131 |
| Practice Fax Number | 4196363100 |
| Mailing Telephone | 4196361131 |
| Mailing Fax Number | 4196363100 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.08426 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2626573 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609367085 | Larry Pickett | Technician | 2102 Savannah Ter Se Apt K, Washington, DC 20020-2139 | 2018-05-22 |
| Street Address |
433 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169803 | Tonya M Imm | Massage Therapist | 433 W High St, Bryan, OH 43506-1690 | 2020-09-21 |
| 1609334556 | Williams Emergency Group, LLC | Physician Assistant | 433 W High St, Bryan, OH 43506-1690 | 2019-03-11 |
| 1053884585 | Caitlin Nicole Armstrong | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2019-01-08 |
| 1003334178 | Jennifer Lynn Witte | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-09-08 |
| 1427574896 | Emily Turnbull | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-08-17 |
| 1104376219 | Nicole Marie Pothast | Advanced Practice Midwife | 433 W High St, Bryan, OH 43506-1690 | 2016-10-12 |
| 1033669734 | Vaishali Patel | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2016-10-06 |
| 1750764718 | Gregory Durham | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2015-07-08 |
| 1699165621 | Samaritan Emergency Physicians LLP | Emergency Medicine | 433 W High St, Bryan, OH 43506-1690 | 2015-01-29 |
| 1902294689 | Megan P Fillman | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2015-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
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| 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 |
|---|---|---|---|---|
| 1053884585 | Caitlin Nicole Armstrong | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2019-01-08 |
| 1609346733 | Brittany Denee Rodgers | Nurse Anesthetist, Certified Registered | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2018-12-02 |
| 1306324280 | James Duncan Martin V | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr Ste 14, Bryan, TX 77802-2739 | 2018-08-01 |
| 1902317118 | Katherine Vitek | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr Ste 14, Bryan, TX 77802-2739 | 2017-10-14 |
| 1902349566 | Melvin Yezak II | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr, Ste 14, Bryan, TX 77802-2769 | 2016-11-29 |
| 1184074254 | Kelly Lynn Sampson | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | 2016-06-20 |
| 1669859963 | Aaron Ray | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | 2015-05-06 |
| 1558751834 | Anesthesia Associates of Bryan LLC | Nurse Anesthetist, Certified Registered | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2015-01-26 |
| 1902294689 | Megan P Fillman | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2015-01-02 |
| 1649690009 | Melinda Winkler | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | 2014-04-23 |
| Find all providers in BRYAN | ||||
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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.