JCKM, LLC ABBE C FANNIN SOLE MBR (NPI# 1205277456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205277456 |
| Entity Type | Organization |
| Organization Name | JCKM, LLC ABBE C FANNIN SOLE MBR |
| Practice Address |
1416 George Dieter Dr El Paso TX 79936-7601 |
| Mailing Address |
Po Box 41 Muncie IN 47308-0041 |
| Practice Telephone | 9158495104 |
| Mailing Telephone | 7652840493 |
| Mailing Fax Number | 7652842434 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | ABBE C FANNIN (OWNER/PROVIDER) |
| Authorized Official Telephone | 7652840493 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 647336 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1416 GEORGE DIETER DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659884 | Physicians Specialty Hospital of El Paso East Lp | General Acute Care Hospital | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2005-06-14 |
| 1609351907 | Samuel Sanchez | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2018-10-02 |
| 1962985937 | Louis Vincent Barton | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2018-09-14 |
| 1497244974 | Christopher P Belli | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936 | 2018-05-09 |
| 1174926125 | Texas Ams Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2014-10-06 |
| 1811328438 | Torres Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-12-07 |
| 1659712784 | Volunteer Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-07-17 |
| 1083957625 | East El Paso Physicians Group, Inc. | Radiology | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-04-02 |
| 1790028355 | Am Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-04-02 |
| 1023364650 | Clinical Physicians Pathology Lab | Clinical Medical Laboratory | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| 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 |
|---|---|---|---|---|
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1699237495 | Adora Gabriella Diaz | Nurse Anesthetist, Certified Registered | 6241 Wildwood Ct, El Paso, TX 79912-3212 | 2019-04-02 |
| 1194293076 | El Paso Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr Ste 180, El Paso, TX 79902-4838 | 2018-11-08 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1174061873 | Ryan Alec Chavez | Nurse Anesthetist, Certified Registered | 12243 Eagle Heart Dr, El Paso, TX 79936-8605 | 2017-02-02 |
| 1255874160 | Lauren Johnson Brown | Nurse Anesthetist, Certified Registered | 2000a Transmountain Rd., El Paso, TX 79911-3602 | 2016-11-25 |
| 1619329745 | Sam Marusich | Nurse Anesthetist, Certified Registered | 215 N Stanton St, #406, El Paso, TX 79901-1367 | 2016-07-13 |
| 1780036236 | Michelle Evans Anesthesia Service | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr Ste 200, El Paso, TX 79902-4838 | 2016-07-08 |
| 1902262538 | Marina Sabirova | Nurse Anesthetist, Certified Registered | 12220 Pellicano Dr, 516, El Paso, TX 79936-6834 | 2016-01-12 |
| 1740646702 | Miguel Garcia | Nurse Anesthetist, Certified Registered | 12111 El Greco Cir, El Paso, TX 79936-7172 | 2016-01-06 |
| Find all providers in EL PASO | ||||
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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.