MALLORY PALMER (NPI# 1609278688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609278688 |
| Entity Type | Individual |
| Full Name | MALLORY PALMER |
| Credential | CRNA |
| Practice Address |
401 Matthew St Marietta OH 45750-1635 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403761994 |
| Practice Fax Number | 7403761940 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.16584 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0110698 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1106 Colegate Dr, Marietta, OH 457501323 | 7405682000 | 7405682094 |
| Street Address |
401 MATTHEW ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922440 | Anthony V Goocey | Nurse Practitioner | 401 Matthew St, Emergency Dept, Marietta, OH 45750-1635 | 2005-06-14 |
| 1265046650 | Haley Pressley | Pharmacist | 401 Matthew St, Marietta, OH 45750-1635 | 2020-09-02 |
| 1609495811 | Tiffany Diane Rebholz | Respiratory Therapist, Registered | 401 Matthew St, Marietta, OH 45750-1699 | 2020-04-09 |
| 1316576903 | Pamela R Brearey | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-06 |
| 1053940155 | Spencer Ashcraft | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1447889464 | Shaun Mcmillin | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1528697505 | Raymond W Dobson | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1023647088 | Alyssa M Gates | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1013546076 | Elaine Stearney | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
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| 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 |
|---|---|---|---|---|
| 1245577816 | Lindsey Dodson | Nurse Anesthetist, Certified Registered | 1960 Fields Pond Dr, Marietta, GA 30068-1566 | 2013-01-15 |
| 1417024688 | Peter Paul Chvala Jr. | Nurse Anesthetist, Certified Registered | 2328 Milstead Cir Ne, Marietta, GA 30066-5769 | 2006-11-30 |
| 1326128059 | Laura G Fisher | Nurse Anesthetist, Certified Registered | 2540 Windy Hill Road, Windy Hill Hospital, Marietta, GA 30067 | 2006-10-17 |
| 1487618161 | Michelle K Carpenter | Nurse Anesthetist, Certified Registered | 599 Lullingstone Dr Se, Marietta, GA 30067-2716 | 2006-04-12 |
| 1467420208 | Jerome Andrew Lottman | Nurse Anesthetist, Certified Registered | 4106 Columns Dr Se, Marietta, GA 30067-9105 | 2006-03-09 |
| 1124096862 | Russell L. Branch Jr. | Nurse Anesthetist, Certified Registered | 531 Roselane St Nw, Suite 830, Marietta, GA 30060 | 2006-03-09 |
| 1710594080 | Terrence Helms | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-09-30 |
| 1902421787 | Valerie Marie Wellman | Nurse Anesthetist, Certified Registered | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2020-06-08 |
| 1629624135 | Sharaine Michele Richards | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-08-12 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
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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.