MR. JACK R SHEARER (NPI# 1265438980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265438980 |
Entity Type | Individual |
Full Name | MR. JACK R SHEARER |
Credential | CRNA |
Practice Address |
262 Danny Thomas Pl Memphis TN 38105-3678 |
Mailing Address |
262 Danny Thomas Pl Ms 515 Memphis TN 38105-3678 |
Practice Telephone | 9015953006 |
Practice Fax Number | 9015953842 |
Mailing Telephone | 9015953006 |
Mailing Fax Number | 9015953842 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2012-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 144583 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04132040 | 05 | |
LA | 1472115 | 05 | |
OH | 2524076 | 05 | |
VA | 010133181 | 05 | |
ME | 422400000 | 05 | |
SC | QAN028 | 05 | |
AR | 157589001 | 05 | |
OK | 200055730A | 05 | |
TN | 5440235 | 05 | |
IN | 200522250A | 05 | |
MT | 4307498 | 05 | |
MO | 919333104 | 05 | |
MI | 104694231 | 05 | |
TX | 174264501 | 05 | |
KS | 9572 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003439076 | Jack Shearer | Licensed Vocational Nurse | 330 N St Apt 18, Sacramento, CA 95814-4302 | 2020-05-25 |
1265402721 | Jack Shearer | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-25 |
Street Address |
262 DANNY THOMAS PL |
City | MEMPHIS |
State | TN |
Zip Code | 38105-3678 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
1023618907 | James Michael Burgess | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-10-29 |
1669098273 | Cassandra Gerhart | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-06-19 |
1275152589 | Katherine Farabee Bailey | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-04-16 |
1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
1285274639 | Alise Murray | Genetic Counselor, MS | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-14 |
1053951566 | Mary Margaret Benson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-13 |
1164062071 | Erma Louise Davis | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-08 |
1821637216 | Heather Gaye Havens | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-02 |
1811534837 | Cody Elizabeth Mcmillan | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
Find all providers in zip 38105 |
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 |
---|---|---|---|---|
1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
1215469416 | Victoria Peacock | Nurse Anesthetist, Certified Registered | 6455 Poplar Ave, Apt 302, Memphis, TN 38119-4875 | 2017-03-28 |
1740733781 | Joshua Donnan | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ofc, Suite 150, Memphis, TN 38119-0800 | 2016-07-26 |
1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
1285901173 | Independent Anesthesia Services | Nurse Anesthetist, Certified Registered | 5179 Gwynne Rd, Memphis, TN 38117-3419 | 2011-11-21 |
1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
1699005975 | Robert S Chamblee | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy Suite 330, Memphis, TN 38120 | 2010-01-08 |
1558528562 | Shannon Bontemps | Nurse Anesthetist, Certified Registered | 111 Harbor Ridge Ln S, Memphis, TN 38103-0843 | 2008-05-19 |
1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
1710163092 | Laura E Hartzell | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2008-01-16 |
Find all providers in MEMPHIS |
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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.