JEFFREY HAFENDORFER (NPI# 1366716284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366716284 |
| Entity Type | Individual |
| Full Name | JEFFREY HAFENDORFER |
| Credential | CRNA |
| Practice Address |
1 Audubon Plaza Dr Louisville KY 40217-1318 |
| Mailing Address |
425 Lewis Hargett Cir Lexington KY 40503-3590 |
| Practice Telephone | 5026367111 |
| Mailing Telephone | 8592681030 |
| Mailing Fax Number | 8592694120 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3007360 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 AUDUBON PLAZA DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668818 | Bryce E Schuster | Surgery | 1 Audubon Plaza Dr, Louisville, KY 40217 | 2005-06-01 |
| 1073123212 | Jenna N Gipperich | Physician Assistant | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-08-03 |
| 1588281448 | Spencer Lee Hammack | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-06-26 |
| 1245857101 | Kyle Schwickerath | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-06-26 |
| 1174142103 | Michael Stephen Myers | Nurse Practitioner | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-04-09 |
| 1649803511 | Christopher Wissel | Nurse Anesthetist, Certified Registered | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-02-19 |
| 1194373373 | Anne Carole Preuss | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-08-30 |
| 1265087746 | Kimberly Strickland | Hospitalist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-08-02 |
| 1841844818 | Jennifer Dee Deacon | Nurse Practitioner | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-07-29 |
| 1356994180 | Morgan Christine Reilly | Internal Medicine | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| 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 |
|---|---|---|---|---|
| 1528533031 | Katherine Berning | Nurse Anesthetist, Certified Registered | 3022 Eagle Pass, Louisville, KY 40217-1727 | 2018-10-11 |
| 1326559733 | Morgan Ann Baumgartle | Nurse Anesthetist, Certified Registered | Norton Children's Hospital 231 E. Chestnut St, Louisville, KY 40202 | 2017-10-12 |
| 1225385909 | Exacta Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 8809 Linn Station Rd, Louisville, KY 40222-5658 | 2012-08-13 |
| 1740543990 | Tiva Oba, L.L.C. | Nurse Anesthetist, Certified Registered | 4729 Razor Creek Way, Louisville, KY 40299-5533 | 2012-06-22 |
| 1124338579 | Kenneth Eugene Doyon | Nurse Anesthetist, Certified Registered | 601 S Floyd St Ste 407, Louisville, KY 40202-1837 | 2010-10-19 |
| 1508176058 | Jaclyn M Johanboeke | Nurse Anesthetist, Certified Registered | 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 | 2010-10-18 |
| 1487889143 | Sleep Ez Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 10301 Champion Farms Dr, Louisville, KY 40241-6129 | 2009-05-26 |
| 1700062726 | Jake Chris Chang | Nurse Anesthetist, Certified Registered | 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 | 2008-01-22 |
| 1205984366 | Stanley Ansel Kristiansen | Nurse Anesthetist, Certified Registered | 1702 Trevilian Way, Louisville, KY 40205-2057 | 2007-01-08 |
| 1841358355 | Michael Dewayne Hart | Nurse Anesthetist, Certified Registered | 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 | 2006-12-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
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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.