MR. MARK G ODDEN (NPI# 1528022993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528022993 |
| Entity Type | Individual |
| Full Name | MR. MARK G ODDEN |
| Credential | CRNA |
| Practice Address |
17893 224th St Manchester IA 52057-8629 |
| Mailing Address |
Po Box 359 Manchester IA 52057-0359 |
| Practice Telephone | 5639276183 |
| Practice Fax Number | 5639276183 |
| Mailing Telephone | 5639277457 |
| Mailing Fax Number | 5639277518 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | D-074818 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RMC BC/BS IOWA | 26702 | 01 |
| IA | INDE BC/BS IOWA | 47146 | 01 |
| IA | 6274647 | 05 | |
| IA | 1274647 | 05 | |
| IA | 4274647 | 05 | |
| IA | VINTON BC/BS IOWA | 43951 | 01 |
| IA | SUMNER BC/BS IOWA | 35258 | 01 |
| IA | 327467 | 05 |
| Street Address |
17893 224TH ST |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780924118 | Brady N Blazek | Nurse Anesthetist, Certified Registered | 17893 224th St, Manchester, IA 52057-8629 | 2013-02-21 |
| 1730483645 | Jennifer Marie Chastek | Nurse Anesthetist, Certified Registered | 17893 224th St, Manchester, IA 52057-8629 | 2011-01-06 |
| 1487701652 | Scott J Chastek | Nurse Practitioner | 17893 224th St, Manchester, IA 52057-8629 | 2007-01-03 |
| 1033149133 | David Mark Huether | Nurse Anesthetist, Certified Registered | 17893 224th St, Manchester, IA 52057-8629 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Find all providers in zip 52057 | ||||
| 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 |
|---|---|---|---|---|
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1285800110 | Jacqueline G. Hancock, Crna, Pa | Nurse Anesthetist, Certified Registered | 3245 Farm Ln, Manchester, MD 21102-1780 | 2008-04-30 |
| 1861661621 | Susanne Cramer | Nurse Anesthetist, Certified Registered | 87 Mcgregor St Ste 1400, Manchester, NH 03102-3731 | 2008-02-26 |
| 1942404199 | Dixie C Dorman | Nurse Anesthetist, Certified Registered | 1780 River Rd, Manchester, GA 31816-6100 | 2007-06-12 |
| 1154488708 | Gary Steven Yewdall Sr. | Nurse Anesthetist, Certified Registered | One Elliot Way Suite 200, Amoskeag Anesthesia Assoc, Manchester, NH 03103 | 2007-01-02 |
| 1376657270 | Johnny Michael Mccormick | Nurse Anesthetist, Certified Registered | 1001 Mcarthur Street, United Regional Medical Center, Manchester, TN 37355 | 2006-08-18 |
| 1689617334 | Susan R St. John | Nurse Anesthetist, Certified Registered | 787 D Sain Rd, Manchester, TN 37355-3940 | 2006-06-13 |
| 1619949179 | Elisabeth L Senkler | Nurse Anesthetist, Certified Registered | Catholic Medical Center, 100 Mcgregor St., Manchester, NH 03102 | 2006-02-07 |
| 1336131457 | Martha Hart | Nurse Anesthetist, Certified Registered | 88 Mcgregor St 303, Manchester, NH 03102-3734 | 2005-08-16 |
| 1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
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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.