MR. JUSTIN SLADE BRIDWELL


Address: 1200 W Walnut St, Rogers, AR 72756-3546
Phone: 4796360200

MR. JUSTIN SLADE BRIDWELL (NPI# 1407814924) 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) 1407814924
Entity Type Individual
Full Name MR. JUSTIN SLADE BRIDWELL
Credential CRNA
Practice Address 1200 W Walnut St
Rogers
AR 72756-3546
Mailing Address Po Box 507
Lowell
AR 72745-0507
Practice Telephone 4796360200
Practice Fax Number 4799362912
Mailing Telephone 8164618288
Mailing Fax Number 8164616586
Enumeration Date 2006-05-03
Last Update Date 2007-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered CO1557 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 W WALNUT ST
City ROGERS
State AR
Zip Code 72756-3546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205895687 Gerald F Tuohy Anesthesiology 1200 W Walnut St, Rogers, AR 72756-3546 2006-03-22
1467942441 Renee Cook Case Manager/Care Coordinator 1200 W Walnut St, Rogers, AR 72756-3521 2018-05-15
1649792995 Brandy Huddleston Counselor 1200 W Walnut St, Rogers, AR 72756-3521 2017-07-07
1033630645 Abbey Johnson Counselor 1200 W Walnut St, Rogers, AR 72756-3521 2017-07-05
1437697729 Stephanie M Clark Counselor 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 2017-02-07
1770031379 Addison E Shemin Counselor 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 2016-09-13
1629523006 Darion J Releford Counselor 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 2016-08-16
1609321009 Kelsey Brodie Counselor 1200 W Walnut St, Rogers, AR 72756-3521 2016-08-16
1487007860 Jennifer Canter Counselor 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 2016-07-20
1073965505 Stephanie Partida Counselor 1200 W Walnut St, Rogers, AR 72756-3521 2016-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945483 Sgoh Acquisition Inc Clinic/Center 102 Russell Road, Rogers, AR 72756 2020-06-02
1669009049 Keller Davis Sims Physical Therapist 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 2020-03-25
1437692720 Ginah Brianne Porter Counselor 1108 Poplar Pl, Rogers, AR 72756 2016-11-18
1629404868 Natalie Elizabeth Myers Occupational Therapy Assistant 1000 West Poplar St, Rogers, AR 72756 2013-09-19
1295081529 Aaron Lee Matthews Sr. Counselor 411 W Poplar St., Rogers, AR 72756 2012-07-24
1538420286 Allison R Corter Speech-Language Pathologist 1000 W. Poplar St, Rogers, AR 72756 2012-05-30
1871859496 Fisher Denture & Dental Care Dentist 4404 W. Walnut, Suite 2, Rogers, AR 72756 2012-04-09
1407130487 Timeni Strauss Occupational Therapy Assistant 1000 W. Poplar Street, Rogers, AR 72756 2011-10-07
1316192768 William Barton Tate Obstetrics & Gynecology 1233 Poplar Pl, Rogers, AR 72756 2008-11-27
1093905069 Sunshine School & Development Center Day Training, Developmentally Disabled Services 3400 Woods Lanee, Rogers, AR 72756 2007-07-26
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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
1417321829 Paul Allen Colligan Nurse Anesthetist, Certified Registered 19571 Sunrise Ct, Rogers, MN 55374-4841 2015-11-23
1780063909 Nicholas Honea Nurse Anesthetist, Certified Registered 4600 Centre Court, Rogers, AR 72758 2015-05-20
1538139704 Susan Heady Wiseman Nurse Anesthetist, Certified Registered 6 Mission Hills Cir, Rogers, AR 72758-1406 2006-01-23
1770560518 Bradley Wierda Nurse Anesthetist, Certified Registered 2710 Rife Medical Lane, Anesthesia Dept, Rogers, AR 72758-1452 2005-12-22
1982029740 Rachel Spahn Nurse Anesthetist, Certified Registered 2710 S Rife Medical Ln, Rogers, AR 72758-1452 2014-03-03
1235571456 Allison Elizabeth Lee Mckay Nurse Anesthetist, Certified Registered 2710 Rife Medical Ln, Rogers, AR 72758-1452 2013-07-30
1457620478 Coleman Trey Thrash Nurse Anesthetist, Certified Registered 2710 Rife Medical Ln, Rogers, AR 72758-1452 2011-12-20
1023312782 Matthew W Shelby Nurse Anesthetist, Certified Registered 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758-1452 2011-01-10
1720309511 Derrick R Eddy Nurse Anesthetist, Certified Registered 2710 Rife Medical Ln, Rogers, AR 72758-1452 2010-06-16
1699004648 Gabriel Chad Underwood Nurse Anesthetist, Certified Registered 2710 Rife Medical Ln, Anesthesia Department, Rogers, AR 72758-1452 2009-12-21
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City ROGERS
Zip Code 72756

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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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