MICAH ROGER WELBORN


Address: 1220 Jefferson St, Laurel, MS 39440-4355
Phone: 6014264000

MICAH ROGER WELBORN (NPI# 1407289283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407289283
Entity Type Individual
Full Name MICAH ROGER WELBORN
Credential C.R.N.A
Practice Address 1220 Jefferson St
Laurel
MS 39440-4355
Mailing Address Po Box 247
Laurel
MS 39441-0247
Practice Telephone 6014264000
Mailing Telephone 6013996167
Mailing Fax Number 6013996281
Enumeration Date 2013-08-15
Last Update Date 2018-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 871238 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 08638062 05

Office Location

Street Address 1220 JEFFERSON ST
City LAUREL
State MS
Zip Code 39440-4355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619973542 South Central Regional Medical Center General Acute Care Hospital 1220 Jefferson St, Laurel, MS 39440-4355 2005-06-24
1730799578 Holly Marie White Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2020-08-06
1407495492 David Caldwell Physician Assistant 1220 Jefferson St, Laurel, MS 39440-4355 2019-12-23
1659918084 Elizabeth Allen Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-12-04
1598300626 Nicole Nielsen Physical Therapist 1220 Jefferson St, Laurel, MS 39440-4355 2019-11-13
1437793163 Marty Jacob Brock Physical Therapist 1220 Jefferson St, Laurel, MS 39440-4355 2019-11-06
1881253557 Sarah M Wooten Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-06-06
1730742933 Hanna Rae Mccoy Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-04-15
1801372685 Anna Seals Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2018-07-16
1982195137 Erica Windham Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440 2018-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770050726 Ishita V Lalani Nurse Anesthetist, Certified Registered 8123 Shoal Creek Dr, Laurel, MD 20724-2949 2018-10-29
1437526845 Rajaee Black Nurse Anesthetist, Certified Registered Po Box 731, Laurel, MD 20725-0731 2015-09-01
1801210877 Olga Rife Nurse Anesthetist, Certified Registered 10716 Jordans Dr, Laurel, MD 20723-1286 2014-02-12
1003031121 Comfort Care Anesthesia LLC Nurse Anesthetist, Certified Registered 10512 Twin Cedar Ct, Laurel, MD 20723-5721 2007-04-16
1538213061 Minnie Elizabeth Clark-lamar Nurse Anesthetist, Certified Registered 12322 Shadetree Ln, Laurel, MD 20708-2834 2007-01-22
1003875170 Joyce Sauvager Nurse Anesthetist, Certified Registered 7644 Woodstream Way, Laurel, MD 20723-1163 2006-03-18
1730548926 Byron Mcbride Nurse Anesthetist, Certified Registered 1105 State St, Laurel, MS 39440-1511 2016-02-16
1609263268 Adeola Adebusoye Nurse Anesthetist, Certified Registered 9419 3rd St N, Laurel, MD 20723-1803 2015-04-22
1376792028 Jeremy Mauldin Nurse Anesthetist, Certified Registered 1220 Jefferson St, Laurel, MS 39440-4355 2008-09-17
1326220617 Dana Lynn Harrison Nurse Anesthetist, Certified Registered 7300 Van Dusen Rd, Laurel, MD 20707-9463 2007-11-29
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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