MR. MICHAEL GEORGE THEELE (NPI# 1083695522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083695522 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GEORGE THEELE |
| Credential | CRNA |
| Practice Address |
723 Burkesville Hwy Albany KY 42602-1654 |
| Mailing Address |
12752 Kingston Pike Ste E202 Knoxville TN 37934-0948 |
| Practice Telephone | 8657770909 |
| Practice Fax Number | 8657770910 |
| Mailing Telephone | 8657770909 |
| Mailing Fax Number | 8657770910 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 10643 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1102A | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1059523 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS/BLUE SHIELD | 000000350186 | 01 |
| KY | RAILROAD MEDICARE PIN | P00408377 | 01 |
| KY | 74110214 | 05 |
| Street Address |
723 BURKESVILLE HWY |
| City | ALBANY |
| State | KY |
| Zip Code | 42602-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442626 | Joyce D Gill | Nurse Anesthetist, Certified Registered | 723 Burkesville Hwy, Albany, KY 42602-1654 | 2005-07-28 |
| 1598011249 | Resource Anesthesia Kentucky Inc | Specialist | 723 Burkesville Hwy, Albany, KY 42602-1654 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649707571 | Sarah Stockton Dba Stockton Speech Therapy | Speech-Language Pathologist | 330 N. Clearfork Rd., Albany, KY 42602 | 2017-05-23 |
| 1205289709 | Sarah Stockton | Speech-Language Pathologist | 18 Clearfork Rd, Albany, KY 42602 | 2016-07-20 |
| 1093164436 | Pagie Denney-jones | Social Worker | 104 Washington St., Albany, KY 42602 | 2016-06-07 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1790030625 | Jennifer Ann Dyer | Pharmacist | 800 North Cross Street, Albany, KY 42602 | 2012-07-17 |
| 1235364076 | Lake Cumberland District Health Dept | Public Health or Welfare | 650 High School Dr., Albany, KY 42602 | 2009-05-22 |
| 1316110034 | Lydia Sue Irwin | Social Worker | 218 Irwin Daniels Road, Albany, KY 42602 | 2008-04-03 |
| 1205975414 | Horizon Adult Health Care LLC | Case Management | 97 Foothills Avenue, Albany, KY 42602 | 2007-02-05 |
| 1104973635 | Clinton County Board of Education | Local Education Agency (LEA) | Clinton County Board of Education, North Highway 127, Albany, KY 42602 | 2007-01-05 |
| 1023114451 | Susan Elayne Cash | Dentist | 111 Cross St, Albany, KY 42602 | 2006-09-15 |
| Find all providers in zip 42602 | ||||
| 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 |
|---|---|---|---|---|
| 1477063469 | Caitlin Grace Fields | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave # Mc131, Albany, NY 12208-3412 | 2017-10-04 |
| 1154863058 | Crystal Waters | Nurse Anesthetist, Certified Registered | 8 Normanside Dr, Albany, NY 12208-1019 | 2016-11-08 |
| 1154876183 | Cameron Mcguire | Nurse Anesthetist, Certified Registered | 930 9th Ave Sw, Albany, OR 97321-2419 | 2016-08-19 |
| 1730580986 | Ease Mobile Anesthesia LLC | Nurse Anesthetist, Certified Registered | 36497 230th Ave, Albany, MN 56307-9640 | 2014-09-08 |
| 1992059372 | Nancy Tai | Nurse Anesthetist, Certified Registered | 168 Davis Ave, Albany, NY 12208-1412 | 2012-11-06 |
| 1013021690 | Kirby Kitchens | Nurse Anesthetist, Certified Registered | 2311 W Doublegate Dr, Albany, GA 31721-9254 | 2006-08-19 |
| 1295754760 | John Allen Oaks | Nurse Anesthetist, Certified Registered | 930 Sw 9th Avenue, Albany, OR 97321 | 2006-07-18 |
| 1700829645 | Kristie L Wade | Nurse Anesthetist, Certified Registered | 16 New Scotland Ave., Suite 319, Albany, NY 12208 | 2006-06-14 |
| 1194794156 | Dante A Copollone | Nurse Anesthetist, Certified Registered | 2700 14th Ave Se, Albany, OR 97322 | 2006-03-14 |
| 1437140084 | Palmyra Professional Fees LLC | Nurse Anesthetist, Certified Registered | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2005-11-02 |
| Find all providers in ALBANY | ||||
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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.