LARRY D. STUCKEY (NPI# 1467425306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467425306 |
| Entity Type | Individual |
| Full Name | LARRY D. STUCKEY |
| Credential | CRNA |
| Practice Address |
2740 Navarre Ave Oregon OH 43616-3216 |
| Mailing Address |
600 One Straight Dr Coldwater MI 49036-8845 |
| Practice Telephone | 4196934444 |
| Mailing Telephone | 4192292622 |
| Mailing Fax Number | 4192292646 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.02581-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE | 4704165719 | 01 |
| OH | 0758309 | 05 |
| Street Address |
2740 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997170 | Jodi Kessinger | Optometrist | 2740 Navarre Ave, Oregon, OH 43616 | 2006-01-17 |
| 1730702689 | Nadine Sadia Laila | Optometrist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2020-05-27 |
| 1255792453 | Midwest Eye Consultants Ohio, Inc | Clinic/Center | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2016-03-15 |
| 1932569100 | Midwest Eye Consultants Ohio, Inc | Optometrist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2016-03-02 |
| 1477968196 | John Jones | Optometrist | 2740 Navarre Ave, Oregon, OH 43616 | 2014-06-23 |
| 1609141233 | Kyle Jonathan Weaver | Optometrist | 2740 Navarre Ave, Oregon, OH 43616 | 2012-03-15 |
| 1467682914 | Laura Samantha Bzdafka | Optometrist | 2740 Navarre Ave, Oregon, OH 43616 | 2009-07-18 |
| 1699927285 | Ohio Vision of Toledo | Audiologist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2008-10-15 |
| 1972525475 | Leighan R. Monroe | Optometrist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2006-07-24 |
| 1609896315 | Ohio Vision of Toledo Inc. | Durable Medical Equipment & Medical Supplies | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| 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 |
|---|---|---|---|---|
| 1235782988 | Matthew Joseph Pawlaczyk | Nurse Anesthetist, Certified Registered | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-07-22 |
| 1851789762 | West Central Surgical Center-bayside | Nurse Anesthetist, Certified Registered | 846 S Coy Rd, Oregon, OH 43616-3452 | 2014-12-30 |
| 1730425661 | Promedica Anesthesiology Consultatns LLC | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2012-12-21 |
| 1932452182 | Nathan S Heringhaus | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2012-10-24 |
| 1750520151 | Corinne A Iova | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Dept. of Surgery, Oregon, OH 43616-4920 | 2009-02-10 |
| 1942453113 | Tracy Dickerson | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2008-10-31 |
| 1962574160 | Eastriver Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2006-11-14 |
| 1184679714 | William J Hall | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2006-05-23 |
| 1851340301 | Denise S Deppen | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2006-05-10 |
| 1184610727 | David Dixon | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Department of Surgery, Oregon, OH 43616-4920 | 2005-09-20 |
| Find all providers in OREGON | ||||
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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.