VICTOR PRIBISLAVSKI (NPI# 1083052625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083052625 |
| Entity Type | Individual |
| Full Name | VICTOR PRIBISLAVSKI |
| Credential | CRNA |
| Practice Address |
3394 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 4795823360 |
| Practice Fax Number | 4795823466 |
| Mailing Telephone | 4795823360 |
| Mailing Fax Number | 4795823466 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 162097 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3394 N FUTRALL DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346347671 | Richard Dean Mcneel | Dentist | 3394 N Futrall Dr, Suite 2, Fayetteville, AR 72703-3937 | 2006-09-20 |
| 1770107641 | Christina Wang | Dentist | 3394 N Futrall Dr, Fayetteville, AR 72703-4057 | 2020-06-05 |
| 1598221616 | Medical Anesthesia Services | Nurse Anesthetist, Certified Registered | 3394 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-13 |
| 1710413745 | Amin Nasehi | Dentist | 3394 N Futrall Dr, Fayetteville, AR 72703 | 2017-05-11 |
| 1356799217 | Dean Mcneel Dds Pa | Dentist | 3394 N Futrall Dr, Suite 2, Fayetteville, AR 72703-4057 | 2016-06-01 |
| 1427476191 | Naif Sinada | Dentist | 3394 N Futrall Dr, Fayetteville, AR 72703-4057 | 2014-03-31 |
| 1407997265 | Shelli Ks Carson | Audiologist | 3394 N Futrall Dr, Ste 1, Fayetteville, AR 72703-4057 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1922522523 | The Kendall Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 3490 E Fredricksburg Cir, Fayetteville, AR 72703-4821 | 2017-07-26 |
| 1184084485 | Sharp Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1246 Beckwith Rd, Fayetteville, WV 25840-9575 | 2016-02-29 |
| 1780997833 | Laura Jane Simmons | Nurse Anesthetist, Certified Registered | 260 Lakemont Dr, Fayetteville, GA 30215-2344 | 2010-07-19 |
| 1013235142 | Amanda Lavon Delsoto | Nurse Anesthetist, Certified Registered | 3271 Wimberly Dr, Fayetteville, AR 72703-4033 | 2010-05-13 |
| 1275793515 | Caryn Marie Festa | Nurse Anesthetist, Certified Registered | 3509 Sugar Cane Cir, Fayetteville, NC 28303-4637 | 2008-06-10 |
| 1861669806 | Jessica Marie Colombo | Nurse Anesthetist, Certified Registered | 3202 Boone Trl, Fayetteville, NC 28306-2134 | 2008-05-09 |
| 1194901058 | Brandi Lynn Lane | Nurse Anesthetist, Certified Registered | 3394 N Futrall Dr Ste 2, Fayetteville, AR 72703-3937 | 2008-01-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.