JEFFREY BLAIR STAACK (NPI# 1376747113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376747113 |
| Entity Type | Individual |
| Full Name | JEFFREY BLAIR STAACK |
| Credential | M.D. |
| Practice Address |
341 Trane Dr Knoxville TN 37919-6053 |
| Mailing Address |
5513 Dogwood Rd Knoxville TN 37918-4221 |
| Practice Telephone | 8655880880 |
| Mailing Telephone | 8656892278 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 44686 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
341 TRANE DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407214224 | James Heffernan Jr. | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2016-02-08 |
| 1154798791 | Heather Necaise | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2015-08-31 |
| 1538536172 | Hannah Rosen | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2015-08-31 |
| 1407249980 | Rebecca Brandon | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2015-03-09 |
| 1679966154 | Jessica Wylie | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2015-03-09 |
| 1902206311 | Jeremy Hollowell | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2014-09-04 |
| 1144620550 | Joanna Carter | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2014-09-04 |
| 1578963989 | Carrie S Payne | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2014-09-04 |
| 1033538566 | Michael Hogue | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2014-04-13 |
| 1780003210 | Brian Kelly | Nurse Anesthetist, Certified Registered | 341 Trane Dr, Knoxville, TN 37919-6053 | 2014-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| 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 |
|---|---|---|---|---|
| 1598105363 | Mark Steven Jordon | Anesthesiology | 1837 River Shores Dr, Knoxville, TN 37914-6025 | 2013-06-26 |
| 1427496645 | Jennifer Castelbuono | Anesthesiology | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2013-06-10 |
| 1629327135 | Edith Smith | Anesthesiology | 10621 Chevy Dr, Suite A, Knoxville, TN 37922-3105 | 2012-08-30 |
| 1598078909 | Che Antonio Solla | Anesthesiology | 1924 Alcoa Hwy # U109, Knoxville, TN 37920-1511 | 2010-07-15 |
| 1366624967 | Merit Anesthesia Pllc | Anesthesiology | 9918 Coral Springs Ln, Knoxville, TN 37922-3468 | 2007-12-05 |
| 1538107305 | David G Newman | Anesthesiology | 1408 Currier Ln, Knoxville, TN 37919-8821 | 2006-06-03 |
| 1235117466 | Phillip R Mitchell | Anesthesiology | 3020 Keller Bend Rd, Knoxville, TN 37922-6521 | 2006-01-06 |
| 1285610105 | Bhaskar Reddy | Anesthesiology | 410 N Cedar Bluff Rd, Suite 300, Knoxville, TN 37923-3623 | 2005-12-22 |
| 1811988108 | Donald E Jones | Anesthesiology | 110 N Campbell Station Rd, Knoxville, TN 37934 | 2005-11-04 |
| 1477554632 | Joseph E Simpson | Anesthesiology | 1926 Alcoa Hwy, Suite 390, Knoxville, TN 37920-1545 | 2005-08-09 |
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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.