SUZANNE GRACE FORUM (NPI# 1285250902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285250902 |
| Entity Type | Individual |
| Full Name | SUZANNE GRACE FORUM |
| Credential | CRNA |
| Practice Address |
4725 N Federal Hwy Fort Lauderdale FL 33308-4668 |
| Mailing Address |
2733 Middle River Dr Apt 2 Fort Lauderdale FL 33306-1465 |
| Practice Telephone | 9547718000 |
| Mailing Telephone | 9548176563 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 11007080 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4725 N FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803067 | Richard M Luceri | Internal Medicine | 4725 N Federal Hwy, Jim Moran Heart Center, Suite 502, Fort Lauderdale, FL 33308-4603 | 2005-07-05 |
| 1700400439 | Chisom Anyanwoke | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-28 |
| 1508489972 | Stephanie Coriolan Belancourt | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-20 |
| 1043833544 | Rachel Fayne | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1952924458 | Mahtab Forouzandeh | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1326667775 | Eduardo Arturo Villa | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1629697024 | Yaisa Beatriz Moreno Hernandez | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1063031433 | Ashlyn Elizabeth Reiser | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1982223236 | Jonathan Paul Amodio | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1851910475 | Eric Bray | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| 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 |
|---|---|---|---|---|
| 1073803201 | Taice Aeisha Taylor | Nurse Anesthetist, Certified Registered | 5000 W Oakland Park, Fort Lauderdale, FL 33313 | 2011-04-08 |
| 1588829238 | Grant Larocque | Nurse Anesthetist, Certified Registered | 1600 South Andreas Avenue, Broward General Medical Center, Fort Lauderdale, FL 33316 | 2008-07-22 |
| 1710906003 | Linda Rondinone | Nurse Anesthetist, Certified Registered | 1600 South Andrews Av, C/o Broward General Medical Center, Fort Lauderdale, FL 33316 | 2006-07-18 |
| 1376568402 | James T Lieser | Nurse Anesthetist, Certified Registered | 2122 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1858 | 2006-07-12 |
| 1265491088 | Hillary Mendelsohn | Nurse Anesthetist, Certified Registered | C/o North Ridge Medical Center, 5757 North Dixie Highway, Fort Lauderdale, FL 33334 | 2006-03-21 |
| 1427017250 | William B Nicholson | Nurse Anesthetist, Certified Registered | C/o Imperial Point Medical Center, 6401 North Federal Highway, Fort Lauderdale, FL 33306 | 2006-03-21 |
| 1356300305 | Isa R Mendelow | Nurse Anesthetist, Certified Registered | 1600 South Andrews Ave, C/o Broward General Medical Center, Fort Lauderdale, FL 33316 | 2006-03-20 |
| 1568421519 | William M Mccaffery | Nurse Anesthetist, Certified Registered | 1600 South Andrews Avenue, C/o Broward General Medical Center, Fort Lauderdale, FL 33316 | 2006-03-20 |
| 1487622270 | Matthew J Borowski | Nurse Anesthetist, Certified Registered | 757 Se 17th St, Fort Lauderdale, FL 33316-2960 | 2006-03-09 |
| 1578536660 | Pamela J. Lum | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd Ste 5, Fort Lauderdale, FL 33309-3392 | 2006-02-09 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.