MR. RONALD SHENKER (NPI# 1437187226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437187226 |
| Entity Type | Individual |
| Full Name | MR. RONALD SHENKER |
| Credential | CRNA |
| Practice Address |
1601 Nw Hawthorne Ave Grants Pass OR 97526-1041 |
| Mailing Address |
5319 Sw Westgate Dr # 241 Portland OR 97221-2432 |
| Practice Telephone | 5414724884 |
| Mailing Telephone | 5032977223 |
| Mailing Fax Number | 5032977903 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 098007205 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 092578 | 05 | |
| REGENCE BCBSO | 023807004 | 01 |
| Street Address |
1601 NW HAWTHORNE AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492530 | Grants Pass Surgery Center, LLC | Clinic/Center | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2005-07-26 |
| 1396040598 | Rogue Anesthesia LLC | Clinic/Center | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2011-01-19 |
| 1043248917 | Rogue Anesthesia LLC | Anesthesiology | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2006-06-29 |
| 1528008562 | Robert A Montgomery IIi | Anesthesiology | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2006-06-07 |
| 1811936321 | Edward R Cook | Nurse Anesthetist, Certified Registered | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1588815138 | Dorian E Fowler | Nurse Anesthetist, Certified Registered | 881 Kendall Dr, Grants Pass, OR 97527-5456 | 2008-10-01 |
| 1538422290 | Nathan R Broadbent | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5543 | 2012-06-19 |
| 1619272788 | Ralph L Luellen IIi | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2011-01-20 |
| 1134371503 | Scott W Rigdon | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2008-10-16 |
| 1710159082 | Jonathan Edwin Jenson | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2008-03-27 |
| 1447389556 | Keith Andrew Jensen | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1265561377 | Matthew Allyn Fagert | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1053440172 | Thomas R Leblanc | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey, Grants Pass, OR 97527 | 2007-03-05 |
| 1851420970 | John H Smith | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2007-03-05 |
| 1770649014 | Kevin W Field | Nurse Anesthetist, Certified Registered | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-12-29 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.