ASHLAND INTERVENTIONAL PAIN CENTER LLC (NPI# 1174917108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174917108 |
| Entity Type | Organization |
| Organization Name | ASHLAND INTERVENTIONAL PAIN CENTER LLC |
| Practice Address |
1305 Airport Fwy Suite 103 Bedford TX 76021-6605 |
| Mailing Address |
Po Box 674149 Dallas TX 75267-4149 |
| Practice Telephone | 8175712607 |
| Practice Fax Number | 8175710897 |
| Mailing Telephone | 9724791115 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | TRACY WALLS (PRESIDENT) |
| Authorized Official Telephone | 9722344740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1305 AIRPORT FWY SUITE 103 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
| 1033636477 | Amanda Dutro | Nurse Practitioner | 1305 Airport Fwy, Bedford, TX 76021-6605 | 2017-08-26 |
| 1811344302 | Cardiac Cath Lab of Mid Cities, Lp | Clinic/Center | 1305 Airport Fwy, Suite 121, Bedford, TX 76021-6605 | 2016-05-16 |
| 1356798854 | Mid Cities Asc, Lp | Clinic/Center | 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 | 2016-05-16 |
| 1548644610 | Venkatesan D. Vidi, Md Pllc | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2015-07-17 |
| 1801273800 | Manchester Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-04-29 |
| 1104214642 | Kensington Interventional Pain Center, LLC | Clinic/Center | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-01-07 |
| 1326458191 | Mid-cities Cardiac Care Center, Pllc | Clinic/Center | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2014-05-02 |
| 1700228343 | Fisher Cardiology and Electrophyisology | Internal Medicine | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2013-07-24 |
| 1639412836 | Chart Rehabilitation | Clinic/Center | 1305 Airport Fwy, Suite 402, Bedford, TX 76021-6605 | 2013-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| 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 |
|---|---|---|---|---|
| 1275995599 | Courtney Devlin | Nurse Anesthetist, Certified Registered | 2237 Wembley Wood Ln, Bedford, TX 76022-6117 | 2016-03-25 |
| 1871985986 | Jana Camille Mopera | Nurse Anesthetist, Certified Registered | 2421 Bridgeton Ln, Bedford, TX 76021-7961 | 2015-02-26 |
| 1356596746 | Novamed Surgery Center of Bedford, LLC | Nurse Anesthetist, Certified Registered | 105 Riverway Pl, Bedford, NH 03110-6730 | 2008-11-26 |
| 1932377074 | Karen Jean Adair | Nurse Anesthetist, Certified Registered | 1109 Spring Brook Dr, Superior Anesthesia, Bedford, TX 76021-4449 | 2008-02-12 |
| 1548206469 | Mary C Lipovan | Nurse Anesthetist, Certified Registered | 78 Overlook Pl, Bedford, OH 44146-2930 | 2006-06-20 |
| 1215939616 | Michelle Diane Lower | Nurse Anesthetist, Certified Registered | 2900 W 16th Street, Bedford, IN 47421-3510 | 2005-08-15 |
| 1801273800 | Manchester Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-04-29 |
| 1962823294 | Chad Richard Contri | Nurse Anesthetist, Certified Registered | 2900 16th St, Bedford, IN 47421-3510 | 2014-01-06 |
| 1740412188 | Texas Health Harris Methodist Hospital Hurst-euless-bedford | Nurse Anesthetist, Certified Registered | 1600 Hospital Pkwy, Bedford, TX 76022-6913 | 2009-08-19 |
| 1538338496 | Heidi Ackermann Shields | Nurse Anesthetist, Certified Registered | 1613 Oakwood St, Bedford, VA 24523-1213 | 2008-02-25 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on ASHLAND INTERVENTIONAL PAIN CENTER LLC.
| 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.