RICHARD E PACK (NPI# 1154377331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154377331 |
| Entity Type | Individual |
| Full Name | RICHARD E PACK |
| Credential | CRNA |
| Practice Address |
1995 E State St Salem OH 44460-2423 |
| Mailing Address |
3622 Belmont Ave Suite 1 Youngstown OH 44505-1450 |
| Practice Telephone | 3303321551 |
| Practice Fax Number | 3303327663 |
| Mailing Telephone | 3307599350 |
| Mailing Fax Number | 3307599387 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-114377331 | OH | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NA-01763 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0748025 | 05 |
| Street Address |
1995 E STATE ST |
| City | SALEM |
| State | OH |
| Zip Code | 44460-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871714 | Loretta Marie Jacob | Nurse Practitioner | 1995 E State St, Salem, OH 44460-2423 | 2005-06-15 |
| 1578178208 | Kendra A Koulianos | Registered Nurse | 1995 E State St, Salem, OH 44460-2423 | 2020-09-10 |
| 1851906663 | Nicole Lester | Registered Nurse | 1995 E State St, Salem, OH 44460-2423 | 2020-09-09 |
| 1023648029 | Betsy Jo Garwood-wilhelm | Nurse Practitioner | 1995 E State St, Salem, OH 44460-2423 | 2020-01-19 |
| 1407497357 | Stacia Winland | Nurse Practitioner | 1995 E State St, Salem, OH 44460-2423 | 2019-10-02 |
| 1225680127 | Beth Earles | Nurse Practitioner | 1995 E State St, Salem, OH 44460-2423 | 2019-07-10 |
| 1871078840 | Jane Clarke | Hospitalist | 1995 E State St, Salem, OH 44460-2423 | 2018-09-26 |
| 1255874301 | Laura Melnick | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-22 |
| 1588106454 | Nicholas Inchak | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-09 |
| 1932554474 | Adam Kyle | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155257 | Action Physical Therapy and Rehabilitation, Inc | Physical Therapy Assistant | 2311 East State Street, Salem, OH 44460 | 2019-07-16 |
| 1851855563 | Jessica Michelle Adkins | Occupational Therapy Assistant | 100 Blossom Ln, Salem, OH 44460 | 2019-01-27 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1912405648 | Ascend Home Health Care LLC | Home Health | 1367 Slater Rd, Salem, OH 44460 | 2018-01-29 |
| 1225562572 | Melissa Sue Chadbourne | Occupational Therapist | 7855 Pleasant Valley Ct, Salem, OH 44460 | 2017-04-13 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| 1811312028 | Denise Repella | Speech-Language Pathologist | 1171 Hampton Pl, Salem, OH 44460 | 2014-02-25 |
| 1750702338 | Care4me Skilled, LLC | Home Health | 2400 Southeast Blvd., Suite B, Salem, OH 44460 | 2013-12-26 |
| Find all providers in zip 44460 | ||||
| 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 |
|---|---|---|---|---|
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| 1891148094 | Stefany Mcmullen | Nurse Anesthetist, Certified Registered | 5230 Eola Dr Nw, Salem, OR 97304-3355 | 2016-07-22 |
| 1265817712 | Elizabeth Faber | Nurse Anesthetist, Certified Registered | 890 Oak Street Se, Salem, MA 97301 | 2015-07-27 |
| 1487904298 | Jerry Antony Hadlock | Nurse Anesthetist, Certified Registered | 684 E 320 S, Salem, UT 84653-8532 | 2012-09-19 |
| 1740426006 | Todd Louis Hixson | Nurse Anesthetist, Certified Registered | 630 Waldo Ave Se, Salem, OR 97302-3175 | 2008-12-16 |
| 1639168917 | Debra Lynne Skerlec-caylor | Nurse Anesthetist, Certified Registered | 2050 Allen Rd, Salem, OH 44460-1016 | 2005-10-19 |
| 1619447299 | Joshua Dodson | Nurse Anesthetist, Certified Registered | 1900 Electric Road, Salem, VA 24153 | 2018-11-27 |
| 1083125868 | Kathryn B Stewart | Nurse Anesthetist, Certified Registered | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-10-19 |
| 1861921892 | Stefanie Navarro | Nurse Anesthetist, Certified Registered | 81 Highland Ave, Salem, MA 01970-2714 | 2017-06-04 |
| 1255874301 | Laura Melnick | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-22 |
| Find all providers in SALEM | ||||
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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.