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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | CO1557 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1200 W WALNUT ST |
City | ROGERS |
State | AR |
Zip Code | 72756-3546 |
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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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 |
Find all providers in zip 72756 |
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 |
---|---|---|---|---|
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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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.