MRS. SHELBY D KOETTER (NPI# 1093346512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093346512 |
| Entity Type | Individual |
| Full Name | MRS. SHELBY D KOETTER |
| Practice Address |
1 Wyoming St Dayton OH 45409-2722 |
| Mailing Address |
Po Box 632317 Cincinnati OH 45263-2317 |
| Practice Telephone | 9372086173 |
| Practice Fax Number | 9372083843 |
| Mailing Telephone | 7172635562 |
| Mailing Fax Number | 7172631566 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.020052 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 WYOMING ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
| 1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
| 1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
| 1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
| 1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
| 1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
| 1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| 1093323339 | Mckenzie Shenk | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| 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 |
|---|---|---|---|---|
| 1033771480 | Sammy S. Loonkishu | Nurse Anesthetist, Certified Registered | 414 Crystal Point Dr, Dayton, OH 45459-4170 | 2019-07-07 |
| 1285008946 | Alaina Marie Smith | Nurse Anesthetist, Certified Registered | 2222 Philidelphia Drive, Dayton, OH 45406-1891 | 2015-11-18 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1295827970 | Kendra Wells | Nurse Anesthetist, Certified Registered | One Childen's Plaza - Dayton Children's Hospital, Children's Care Group, Inc., Dayton, OH 45404-1815 | 2006-09-29 |
| 1659327344 | William Sherman Long Jr. | Nurse Anesthetist, Certified Registered | 7900 Rhea Medical Center, Rhea County Hwy, Dayton, TN 37321 | 2006-05-25 |
| 1568437580 | Robert P Szewczyk | Nurse Anesthetist, Certified Registered | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-02-22 |
| 1821073842 | Shirley J Reischman | Nurse Anesthetist, Certified Registered | 405 Grand Ave, Dayton, OH 45405-4720 | 2005-12-13 |
| 1144228115 | Paulette L Cundy-melzer | Nurse Anesthetist, Certified Registered | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2005-07-13 |
| 1992339089 | Dawn Renee Leonard | Nurse Anesthetist, Certified Registered | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-02-27 |
| 1679113682 | Julia M Woelfel | Nurse Anesthetist, Certified Registered | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-01-08 |
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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.