JERRY ANTONY HADLOCK (NPI# 1487904298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487904298 |
| Entity Type | Individual |
| Full Name | JERRY ANTONY HADLOCK |
| Credential | CRNA |
| Practice Address |
684 E 320 S Salem UT 84653-8532 |
| Practice Telephone | 8016153292 |
| Mailing Telephone | 8016153292 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 7091442-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 7091442-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
684 E 320 S |
| City | SALEM |
| State | UT |
| Zip Code | 84653-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
| 1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
| 1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
| 1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
| 1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
| Find all providers in zip 84653 | ||||
| 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 |
|---|---|---|---|---|
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| 1891148094 | Stefany Mcmullen | Nurse Anesthetist, Certified Registered | 5230 Eola Dr Nw, Salem, OR 97304-3355 | 2016-07-22 |
| 1265817712 | Elizabeth Faber | Nurse Anesthetist, Certified Registered | 890 Oak Street Se, Salem, MA 97301 | 2015-07-27 |
| 1740426006 | Todd Louis Hixson | Nurse Anesthetist, Certified Registered | 630 Waldo Ave Se, Salem, OR 97302-3175 | 2008-12-16 |
| 1639168917 | Debra Lynne Skerlec-caylor | Nurse Anesthetist, Certified Registered | 2050 Allen Rd, Salem, OH 44460-1016 | 2005-10-19 |
| 1619447299 | Joshua Dodson | Nurse Anesthetist, Certified Registered | 1900 Electric Road, Salem, VA 24153 | 2018-11-27 |
| 1083125868 | Kathryn B Stewart | Nurse Anesthetist, Certified Registered | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-10-19 |
| 1861921892 | Stefanie Navarro | Nurse Anesthetist, Certified Registered | 81 Highland Ave, Salem, MA 01970-2714 | 2017-06-04 |
| 1255874301 | Laura Melnick | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-22 |
| 1588106454 | Nicholas Inchak | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-09 |
| Find all providers in SALEM | ||||
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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.