JERRY ANTONY HADLOCK


Address: 684 E 320 S, Salem, UT 84653-8532
Phone: 8016153292

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 684 E 320 S
City SALEM
State UT
Zip Code 84653-8532

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City SALEM
Zip Code 84653

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Dataset Information

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.

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