MR. MARIO PEREZ-PENA (NPI# 1497214191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497214191 |
| Entity Type | Individual |
| Full Name | MR. MARIO PEREZ-PENA |
| Credential | CRNA |
| Practice Address |
100 Womans Way Baton Rouge LA 70817-5100 |
| Mailing Address |
2644 S Sherwood Forest Blvd Ste 121 Baton Rouge LA 70816-2248 |
| Practice Telephone | 2259248149 |
| Practice Fax Number | 2252931807 |
| Mailing Telephone | 2252932523 |
| Mailing Fax Number | 2252931807 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 202391 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 WOMANS WAY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279969 | Marshall S Stamant | Obstetrics & Gynecology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2005-07-19 |
| 1821557521 | Nickolas A Skias | Anesthesiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2019-03-13 |
| 1013412006 | Gabrielle M Alexander | Student in an Organized Health Care Education/Training Program | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-03-29 |
| 1790280477 | Victoria Christine Bone | Student in an Organized Health Care Education/Training Program | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-03-26 |
| 1497254502 | Nia'ja Ste'vona Mack | Nurse Practitioner | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-02-04 |
| 1992204218 | Woman's Hospital Foundation | Clinical Medical Laboratory | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-02-02 |
| 1750880068 | Brittany S Musso | Anesthesiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-02-02 |
| 1528567849 | Michelle B Bajon | Anesthesiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2018-02-02 |
| 1043742471 | Khaki Renee Hazzlerigg | Nurse Practitioner | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2017-04-03 |
| 1003365784 | Womans Hospital Foundation | Pharmacy | 100 Womans Way, Suite Ssb1, Baton Rouge, LA 70817-5100 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| 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 |
|---|---|---|---|---|
| 1619383809 | Tyler Grayson Borne | Nurse Anesthetist, Certified Registered | 4037 Pine Park Dr, Baton Rouge, LA 70809-2325 | 2014-07-08 |
| 1992078257 | Robby Duet | Nurse Anesthetist, Certified Registered | 8449 E Cypress Point Ct, Baton Rouge, LA 70809-2274 | 2012-02-17 |
| 1184924839 | Chad Gautreaux | Nurse Anesthetist, Certified Registered | 9020 Worth Ave, Baton Rouge, LA 70810-2722 | 2010-10-28 |
| 1487885315 | Jefferson Davis Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 13460 Coursey Blvd, Baton Rouge, LA 70816-4972 | 2009-07-27 |
| 1598887135 | John Rumfellow | Nurse Anesthetist, Certified Registered | 11414 Lake Sherwood Ave N, Baton Rouge, LA 70816-0406 | 2007-04-04 |
| 1831285469 | William Theriot | Nurse Anesthetist, Certified Registered | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2006-10-04 |
| 1801997804 | Jeffrey P Leblanc | Nurse Anesthetist, Certified Registered | 8946 Interline Ave, Suite C, Baton Rouge, LA 70809-1913 | 2006-09-25 |
| 1043317621 | Cynthia Bailey | Nurse Anesthetist, Certified Registered | 8212 Kelwood Ave, Baton Rouge, LA 70806-4801 | 2006-09-17 |
| 1487767000 | John Michael Sikes | Nurse Anesthetist, Certified Registered | 2909 Morning Glory Ave, Baton Rouge, LA 70808-2163 | 2006-08-17 |
| 1144283201 | Amanda Jill Meckes | Nurse Anesthetist, Certified Registered | 7145 Perkins Road, Baton Rouge, LA 78080-4322 | 2006-04-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.