JOHN W MCKIERNAN (NPI# 1205872926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205872926 |
| Entity Type | Individual |
| Full Name | JOHN W MCKIERNAN |
| Credential | CRNA |
| Practice Address |
22725 Highway 76 E Clinton SC 29325-7527 |
| Mailing Address |
1 Independence Pt Ste. 212 Greenville SC 29615-4545 |
| Practice Telephone | 8648339100 |
| Practice Fax Number | 8648339297 |
| Mailing Telephone | 8647976306 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 726 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AN0796 | 05 |
| Street Address |
22725 HIGHWAY 76 E |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812314 | Timothy Joseph Blanchat | Internal Medicine | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2005-06-22 |
| 1053910612 | Jennifer Bryson | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-23 |
| 1992304182 | Lee Jacobs Dailey | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-20 |
| 1780181826 | Derek Mcelreath | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2018-04-06 |
| 1598214660 | Sarah Anne Beaudelaire | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-09-29 |
| 1205382314 | Upstate Affiliate Organization | Skilled Nursing Facility | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1568918662 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2016-08-29 |
| 1245786367 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
| 1205203502 | Jennifer White Patterson | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2015-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| 1073625273 | William C Renfrow | Nurse Anesthetist, Certified Registered | 110 Heights Dr, Clinton, MS 39056-6602 | 2006-08-31 |
| 1538181508 | Linda S. Welch | Nurse Anesthetist, Certified Registered | 4519 180th Street, Clinton, IA 52732 | 2006-07-25 |
| 1699774554 | Troy K Brown | Nurse Anesthetist, Certified Registered | 100 N 30th St, Clinton, OK 73601-3117 | 2005-07-21 |
| 1700886611 | Michele Therese Lewis | Nurse Anesthetist, Certified Registered | 607 Beaman St, Anesthesia Department, Clinton, NC 28328-2603 | 2005-07-21 |
| 1558844738 | Grigoriy Grigoryan | Nurse Anesthetist, Certified Registered | 607 Beaman St, Clinton, NC 28328-2603 | 2018-09-13 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1093263121 | Brandy Stinson | Nurse Anesthetist, Certified Registered | 1410 N 4th St, Clinton, IA 52732-2940 | 2016-09-19 |
| 1083078703 | Rui Hong | Nurse Anesthetist, Certified Registered | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2016-04-08 |
| 1124480066 | Usha S Parker | Nurse Anesthetist, Certified Registered | 7503 Surratts Road, Clinton, MD 20735 | 2016-03-21 |
| Find all providers in CLINTON | ||||
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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.