EDWARD C CARDINAL (NPI# 1205937810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937810 |
| Entity Type | Individual |
| Full Name | EDWARD C CARDINAL |
| Credential | AA |
| Practice Address |
405 Arrowhead Blvd Suite C Jonesboro GA 30236-1254 |
| Mailing Address |
239 Grant St Se Apt.179 Atlanta GA 30312 |
| Practice Telephone | 7704789877 |
| Practice Fax Number | 7704782908 |
| Mailing Telephone | 7704789877 |
| Mailing Fax Number | 7704782908 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 1452 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 857430290A | 05 |
| Street Address |
405 ARROWHEAD BLVD SUITE C |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508117 | Barry Zeitman | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2005-06-15 |
| 1023626512 | Anna Richards | Speech-Language Pathologist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2020-07-21 |
| 1225402373 | Homegrown Pediatric Dentistry and Orthodontics | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2015-11-30 |
| 1700226438 | Eva Lauren Runnels | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2013-06-26 |
| 1497010003 | Lashawn Ealey | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, C, Jonesboro, GA 30236-1254 | 2012-07-10 |
| 1184876997 | Barrett M. Hunter | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2008-10-13 |
| 1841453875 | Jianmei Li | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-07-09 |
| 1174782601 | Jennifer L Cantrell | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-06-09 |
| 1104084201 | Allison R Johns | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-05-27 |
| 1568657807 | Chareunphone T Inthirat | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2007-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513830 | Jennifer E. Moore | Anesthesiologist Assistant | 405 Arrowhead Blvd Ste C, Jonesboro, GA 30236-1254 | 2006-01-19 |
| 1003366873 | Minh Lam Tang | Anesthesiologist Assistant | 7813 Spivey Station Blvd, Jonesboro, GA 30236 | 2016-10-05 |
| 1841453875 | Jianmei Li | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-07-09 |
| 1104084201 | Allison R Johns | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-05-27 |
| 1740481381 | Jared Charles Kutzer | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2007-05-30 |
| 1669577144 | Julian C Gist | Anesthesiologist Assistant | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2006-09-13 |
| 1679685697 | Vadim Lvovich | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2006-08-31 |
| 1639142219 | Christian Pham | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2006-02-13 |
| 1558331678 | Thomas Simmons | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2006-01-23 |
| 1033199534 | Yvonne A. Seaward | Anesthesiologist Assistant | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2006-01-19 |
| Find all providers in JONESBORO | ||||
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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.