EVAN W LUTTRELL (NPI# 1629105036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629105036 |
| Entity Type | Individual |
| Full Name | EVAN W LUTTRELL |
| Credential | CRNA |
| Practice Address |
1044 Sw 44th St Suite 415 Oklahoma City OK 73109-3613 |
| Mailing Address |
1122 Ne 13th St Ori 236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4056091645 |
| Practice Fax Number | 4056314820 |
| Mailing Telephone | 4052711515 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 76040 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1044 SW 44TH ST SUITE 415 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841903 | Houshang Seradge | Orthopaedic Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2005-06-20 |
| 1801252952 | Anesthesia Specialists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | 1044 Sw 44th St, Oklahoma City, OK 73109-3613 | 2016-01-05 |
| 1255765376 | Houshang Seradge Md PC | Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2013-08-26 |
| 1588983100 | C L Soo Md PC | Orthopaedic Surgery | 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 | 2010-05-21 |
| 1154646651 | Jeffrey Kristjan Prise | Physical Therapist | 1044 Sw 44th St, 300, Oklahoma City, OK 73109-3613 | 2010-03-29 |
| 1730349259 | Daniel W Lee Md PC | Internal Medicine | 1044 Sw 44th St, Suite 410, Oklahoma City, OK 73109-3613 | 2008-06-10 |
| 1396911160 | Pedro Gismondi | Internal Medicine | 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 | 2008-05-01 |
| 1770761819 | Melea Wilson | Occupational Therapist | 1044 Sw 44th St, #300, Oklahoma City, OK 73109-3613 | 2008-01-31 |
| 1700922317 | Jims Tower Pharmacy Inc | Pharmacy | 1044 Sw 44th St, Ste 103, Oklahoma City, OK 73109-3613 | 2007-01-30 |
| 1740335827 | Richard Drew Dds & J 'gus' Wilson Dds PC | Dentist | 1044 Sw 44th St, Suite 510, Oklahoma City, OK 73109-3613 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1821638727 | Kylie Ann Gross | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext Ste B103, Oklahoma City, OK 73114-7408 | 2020-01-09 |
| 1093172975 | Audrey Gauthe | Nurse Anesthetist, Certified Registered | 6529 Bent Wood Dr, Oklahoma City, OK 73169-6226 | 2016-01-22 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| 1003245481 | Traci Renee Wilmarth | Nurse Anesthetist, Certified Registered | 9713 Lakecrest Dr, Oklahoma City, OK 73159-6777 | 2013-11-05 |
| 1710226584 | Kay Lynn Woods | Nurse Anesthetist, Certified Registered | 7344 Nw 148th St, Oklahoma City, OK 73142-7858 | 2013-02-13 |
| 1154671097 | Desiree L Herring | Nurse Anesthetist, Certified Registered | 2317 Sw 137th St, Oklahoma City, OK 73170-5142 | 2012-09-19 |
| 1245537257 | William Todd Dupler | Nurse Anesthetist, Certified Registered | 3705 Nw 63rd St Ste 100, Oklahoma City, OK 73116-1937 | 2011-02-28 |
| 1699072702 | John Le | Nurse Anesthetist, Certified Registered | 301 N Walker Ave Apt 9106, Oklahoma City, OK 73102-1876 | 2011-02-25 |
| 1033426754 | Debra Dee Dunham Crna PC | Nurse Anesthetist, Certified Registered | 9801 S Penn Ave, Oklahoma City, OK 73159-6925 | 2010-09-01 |
| 1083927057 | Jerry Allen Gooch | Nurse Anesthetist, Certified Registered | 921 Ne 13th St., Va Medical Center, Oklahoma City, OK 73104-5028 | 2010-07-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.