MR. DOUGLAS R WHITLOW (NPI# 1487694048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487694048 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS R WHITLOW |
| Credential | CRNA |
| Practice Address |
1102 W 32nd St Joplin MO 64804-3503 |
| Mailing Address |
1734 Santa Fe St Corpus Christi TX 78404-1857 |
| Practice Telephone | 4173471078 |
| Practice Fax Number | 4173471079 |
| Mailing Telephone | 3618836211 |
| Mailing Fax Number | 3618824891 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 148194 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | APN15494 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | C01211 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 141558701 | 05 | |
| TN | BLUE CROSS/ BLUE SHIELD | 4283456 | 01 |
| Street Address |
1102 W 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
| 1710596580 | Zachary Palumbo | Registered Nurse | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-07-28 |
| 1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
| 1154947935 | Steven Musili Mwanzia | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-17 |
| 1326662248 | Thomas D Hardwicke | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-05 |
| 1194349266 | Seth Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-03 |
| 1063035731 | Jacob Cherry | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-05-28 |
| 1831712108 | Justin Orren | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-21 |
| 1508489121 | Ashley Ryder | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| 1962025585 | Zachary Vincent | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| 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 |
|---|---|---|---|---|
| 1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
| 1659635217 | Neal R. Popichak | Nurse Anesthetist, Certified Registered | 102 West 32nd St., Joplin, MO 64804-0000 | 2012-06-28 |
| 1295046720 | Wayne R Alongi | Nurse Anesthetist, Certified Registered | 4213 Wisconsin, Joplin, MO 64804-5806 | 2010-06-30 |
| 1851622849 | Jessica Louann Rush | Nurse Anesthetist, Certified Registered | 3522 Norman Dr, Joplin, MO 64804-4057 | 2010-01-15 |
| 1891706776 | Heidi Jane Peterson | Nurse Anesthetist, Certified Registered | 2516 N Ozark Ave, Joplin, MO 64801-4716 | 2006-08-10 |
| 1982650305 | Jennifer L Cronenwett | Nurse Anesthetist, Certified Registered | 1531 E 32nd St Ste 6, Joplin, MO 64804-9810 | 2006-05-26 |
| 1568417517 | Curt B Carlisle | Nurse Anesthetist, Certified Registered | 15 Woodcrest Dr, Joplin, MO 64804-5828 | 2006-05-24 |
| 1255386934 | Robert Eugene Mccain | Nurse Anesthetist, Certified Registered | 1102 West 32nd Street, Joplin, MO 64804 | 2006-05-23 |
| 1336193622 | Carolyn Elmborg | Nurse Anesthetist, Certified Registered | 5752 Ridge Trl, Joplin, MO 64804-9506 | 2006-05-20 |
| 1528035144 | Phyllis Knickerbocker | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2006-03-02 |
| Find all providers in JOPLIN | ||||
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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.