COREY L SOUTHWORTH


Address: 50 Staniford St # S50-1002, Boston, MA 02114-2517
Phone: 6177247168

COREY L SOUTHWORTH (NPI# 1649595596) 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) 1649595596
Entity Type Individual
Full Name COREY L SOUTHWORTH
Credential CRNA
Practice Address 50 Staniford St # S50-1002
Boston
MA 02114-2517
Practice Telephone 6177247168
Practice Fax Number 6177243947
Mailing Telephone 6177247168
Mailing Fax Number 6177243947
Enumeration Date 2010-04-05
Last Update Date 2014-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 279381 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50 STANIFORD ST # S50-1002
City BOSTON
State MA
Zip Code 02114-2517

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NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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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
1679132906 Michael Schinis Nurse Anesthetist, Certified Registered 15 Saint Marks Rd Apt 2, Boston, MA 02124-2986 2019-06-11
1366865222 Heather Saitta Nurse Anesthetist, Certified Registered 42 Anderson St, Unit 4, Boston, MA 02114-3653 2014-01-29
1801146451 Brad Dershem Nurse Anesthetist, Certified Registered 540 Massachusetts Ave, Apt 1, Boston, MA 02118-1402 2012-09-11
1184985269 Nicole Mareno Escarra Nurse Anesthetist, Certified Registered Massachusetts General Hospital - Main Campus, 55 Fruit Street, Boston, MA 02114 2012-06-05
1558684811 Sandra Rachel Klein Nurse Anesthetist, Certified Registered 55 Fruit St. Gray-bigelow 444, Massachusetts General Hospital Department of Anesthesia, Boston, MA 02114 2010-03-01
1548425572 Massachusetts Eye and Ear Infirmary Nurse Anesthetist, Certified Registered 243 Charles St Fl 7, Boston, MA 02114-3002 2008-07-18
1033314406 David Michael Tausevich Nurse Anesthetist, Certified Registered 10 Milford Street, Suite 3, Boston, MA 02118 2007-06-18
1164597092 Lisa M Chyka Nurse Anesthetist, Certified Registered 50 Standiford St, C/o Ma Anesthesia Corp., Boston, MA 02115 2006-11-24
1750450656 Brenda Jean Roy Nurse Anesthetist, Certified Registered Brigham & Womens Hospital 75 Francis St, Dept of Anesthesia, Boston, MA 02115 2006-11-06
1811921125 Sarah A Lavalette Nurse Anesthetist, Certified Registered 398 Columbus Ave # 291, Boston, MA 02116-6008 2006-07-10
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City BOSTON
Zip Code 02114

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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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