PATRICK D. KELSALL CRNA PLC (NPI# 1184254989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184254989 |
Entity Type | Organization |
Organization Name | PATRICK D. KELSALL CRNA PLC |
Practice Address |
3319 Spring St Ste Suite202 Davenport IA 52807-2125 |
Mailing Address |
Po Box 689 Lake Forest IL 60045-0689 |
Practice Telephone | 5633556236 |
Mailing Telephone | 8004446110 |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-10-01 |
Authorized Official Name | PATRICK KELSALL (OWNER) |
Authorized Official Telephone | 8004446110 |
Authorized Official Credential | CRNA |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | PATRICK D. KELSALL CRNA PLC | 3585 53rd Avenue, Bettendorf, IA 52722 |
Street Address |
3319 SPRING ST STE SUITE202 |
City | DAVENPORT |
State | IA |
Zip Code | 52807-2125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
Find all providers in zip 52807 |
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 |
---|---|---|---|---|
1164748646 | Tara M Kinney | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct Ste 104, Davenport, IA 52807-3419 | 2010-04-09 |
1679577951 | Sarah A Butcher | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Davenport, IA 52807-3461 | 2005-06-02 |
1922465525 | Rachel Alison Kenyon | Nurse Anesthetist, Certified Registered | 40100 Highway 27, Davenport, FL 33837-5906 | 2016-01-27 |
1053741322 | Precision Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Davenport, IA 52807-3461 | 2013-11-22 |
1558649095 | Charles Jason Calhoun | Nurse Anesthetist, Certified Registered | 40100 Highway 27, Davenport, FL 33837-5906 | 2011-08-02 |
1578727715 | Dana Sue Coffman | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 | 2008-07-16 |
1003988668 | Paula L Linn | Nurse Anesthetist, Certified Registered | 10 Nichols St, Davenport, WA 99122-9729 | 2006-11-15 |
1235185471 | Anthony B Schwendinger | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 | 2006-05-26 |
1477511517 | Julie A Ridgley | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 | 2006-05-01 |
1548227382 | Timothy P Newcomb | Nurse Anesthetist, Certified Registered | 3400 Dexter Ct, Suite 101, Davenport, IA 52807-3461 | 2006-04-26 |
Find all providers in DAVENPORT |
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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.