MONROE ANESTHESIA SERVICES (NPI# 1255482550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255482550 |
| Entity Type | Organization |
| Organization Name | MONROE ANESTHESIA SERVICES |
| Practice Address |
316 N Broad St Winder GA 30680-2150 |
| Mailing Address |
Po Box 724928 Atlanta GA 31139-9028 |
| Practice Telephone | 7709295858 |
| Mailing Telephone | 7709295858 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | DR. MORRISON JACQUITTE (OWNER) |
| Authorized Official Telephone | 7709295858 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | GRP7961 | 01 |
| Street Address |
316 N BROAD ST |
| City | WINDER |
| State | GA |
| Zip Code | 30680-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194222 | Winder Hma LLC | General Acute Care Hospital | 316 N Broad St, Winder, GA 30680-2150 | 2005-09-13 |
| 1023543568 | Nikesh Patel | Hospitalist | 316 N Broad St, Winder, GA 30680-2150 | 2017-04-21 |
| 1881144889 | Ngmc Barrow LLC | General Acute Care Hospital | 316 N Broad St, Winder, GA 30680-2150 | 2016-10-13 |
| 1750734323 | Nelda Darlene Holley | Nurse Practitioner | 316 N Broad St, Winder, GA 30680-2150 | 2016-07-19 |
| 1366838294 | Deborah Ann Cochran | Registered Nurse | 316 N Broad St, Winder, GA 30680-2150 | 2015-04-07 |
| 1285887745 | Derrick Eugene Sims | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2008-10-28 |
| 1306096755 | Imaging Associates of North Georgia, Inc | Radiology | 316 N Broad St, Winder, GA 30680-2150 | 2008-09-23 |
| 1518153576 | Barrow Inpatient Services, P.C. | Hospitalist | 316 N Broad St, Winder, GA 30680-2150 | 2007-09-24 |
| 1891992020 | Altaf Husain Tadkod | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2007-06-29 |
| 1871633701 | Gedion A Getachew | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2007-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
| 1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
| 1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
| 1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
| 1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
| 1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
| 1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891809927 | Rasheed O Amao | Anesthesiology | 316 N Broad St, Winder, GA 30680-2150 | 2006-08-18 |
| 1942214374 | Morisson Jacquitte | Anesthesiology | 316 N Broad St, Winder, GA 30680-2150 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1306463013 | Pain Spine Md LLC | Anesthesiology | 3993 Lawrenceville Hwy Nw Ste 115, Lilburn, GA 30047-2831 | 2020-06-29 |
| 1235754151 | Anesthesiologists for Dental Sedation LLC | Anesthesiology | 4151 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2020-06-16 |
| 1497370035 | Maria Gabriela Sanchez Gonzalez | Anesthesiology | 1120 15th St # Bi-2144, Augusta, GA 30912-0004 | 2020-06-09 |
| 1992325641 | Oconee River Anesthesia Associates | Anesthesiology | 1360 Caduceus Way Bldg 300, Watkinsville, GA 30677-7300 | 2020-04-23 |
| 1174085757 | Pain Physicians of America, LLC | Anesthesiology | 3333 Old Milton Parkway, Suite 400, Alpharetta, GA 30005-4437 | 2019-04-03 |
| 1215404892 | Seaworthy Anesthesia, LLC | Anesthesiology | 109 Worthing Rd, St Simons Island, GA 31522-1928 | 2018-10-31 |
| 1205318029 | At Your Service Anesthesia, LLC | Anesthesiology | 2056 W Park Place Blvd Ste F, Stone Mountain, GA 30087-3537 | 2018-08-29 |
| 1750877676 | Gastro Anesthesia Services | Anesthesiology | 4150 Dep Bill Cantrell Memorial Rd Ste 200, Cumming, GA 30040-3005 | 2018-07-03 |
| 1437644226 | Prathik Mudaliar Mudaliar | Anesthesiology | 11250 15th Street, Augusta, GA 30912-0001 | 2018-06-25 |
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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.