MR. JAMES MICHAEL PECZUH (NPI# 1285050054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285050054 |
| Entity Type | Individual |
| Full Name | MR. JAMES MICHAEL PECZUH |
| Credential | CRNA |
| Practice Address |
1001 Towson Ave Sparks Regional Medical Center Fort Smith AR 72901 |
| Mailing Address |
9912 Willowbrook Loop Fort Smith AR 72908-9074 |
| Practice Telephone | 4794414000 |
| Mailing Telephone | 8012102565 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C003016 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 TOWSON AVE SPARKS REGIONAL MEDICAL CENTER |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314203 | Cygnet A Bise | Physical Medicine & Rehabilitation | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2005-05-23 |
| 1083259766 | Mireya Adame | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-11-17 |
| 1891337275 | Alicia Anne Schlesier | Family Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-17 |
| 1811538424 | Ashley Renee Calvillo | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-04 |
| 1588212575 | Lino Lamb | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-09-03 |
| 1063069326 | Tara Rae Sandusky | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-08-21 |
| 1962975664 | Thurithabhani Maechler | Anesthesiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-01-04 |
| 1750856043 | Baptist Health Services | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-10-12 |
| 1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
| 1710463146 | Baptist Health Regional Hospitals | General Acute Care Hospital | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| 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 |
|---|---|---|---|---|
| 1083150064 | Shane Jamison | Nurse Anesthetist, Certified Registered | 12809 Diamond Ln, Fort Smith, AR 72916-4155 | 2017-01-13 |
| 1922176437 | Theresa B Halliburton | Nurse Anesthetist, Certified Registered | 11115 So Waldron Rd, 107, Fort Smith, AR 72903-2584 | 2006-12-01 |
| 1467551101 | Cynthia Janine Howlett | Nurse Anesthetist, Certified Registered | 7501 Millennium Dr, Fort Smith, AR 72916-8820 | 2006-09-21 |
| 1346342888 | Jennifer E Little | Nurse Anesthetist, Certified Registered | 2301 S 56th St Ste 110, Fort Smith, AR 72903-3710 | 2006-09-04 |
| 1609340827 | Alex Taylor Stanfill | Nurse Anesthetist, Certified Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-01-22 |
| 1861980021 | Samuel Zane Redmon | Nurse Anesthetist, Certified Registered | 1115 S Waldron Rd Ste 107, Fort Smith, AR 72903 | 2018-04-24 |
| 1720445661 | Joshua Casey | Nurse Anesthetist, Certified Registered | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2016-01-22 |
| 1750769139 | Northwest Arkansas Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2015-05-18 |
| 1194113076 | James A Mcdaniel | Nurse Anesthetist, Certified Registered | 1115 S Waldron Rd, 107, Fort Smith, AR 72903-2551 | 2014-12-31 |
| 1407267859 | Matthew Bateman | Nurse Anesthetist, Certified Registered | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2014-05-19 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.