MAC ANESTHESIA PLLC


Address: 3353 N Gloster St, Tupelo, MS 38804-9735
Phone: 3214437254

MAC ANESTHESIA PLLC (NPI# 1659984086) 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) 1659984086
Entity Type Organization
Organization Name MAC ANESTHESIA PLLC
Practice Address 3353 N Gloster St
Tupelo
MS 38804-9735
Mailing Address 103 Jean Jane Ln
Tupelo
MS 38804-9113
Practice Telephone 3214437254
Mailing Telephone 3214437254
Enumeration Date 2020-08-25
Last Update Date 2020-08-25
Authorized Official Name MRS. MARY A COOK (OWNER/MEMBER)
Authorized Official Telephone 3214437254
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

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

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations MAC Anesthesia PLLC 136 N. Water Street, Boone, NC 28607

Office Location

Street Address 3353 N GLOSTER ST
City TUPELO
State MS
Zip Code 38804-9735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417950262 Fred H Mothershed Optometrist 3353 N Gloster St, Tupelo, MS 38804-9735 2005-05-24
1275917346 Chelsea Mcknight Optometrist 3353 N Gloster St, Tupelo, MS 38804-9735 2015-07-17
1508184706 Joseph Hyrum Childs Ophthalmology 3353 N Gloster St, Tupelo, MS 38804-9735 2010-05-12
1750581781 Sonya Mitchell Miles Ophthalmology 3353 N Gloster St, Tupelo, MS 38804-9735 2007-07-18
1295934529 Elizabeth Eckard Optometrist 3353 N Gloster St, Tupelo, MS 38804-9735 2007-07-17
1275749228 Nurse Anesthesia Providers, Inc Anesthesiology 3353 N Gloster St, Tupelo, MS 38804-9735 2007-05-15
1831140300 Mothershed Optometry Associates P.l.l.c. Optometrist 3353 N Gloster St, Tupelo, MS 38804-9735 2006-05-12
1912958489 Wesson Ophthalmology Associates P.l.l.c. Specialist 3353 N Gloster St, Tupelo, MS 38804-9735 2006-05-12
1164472031 Tupelo Surgery Center, L.L.C. Clinic/Center 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 2006-05-11
1275512410 Robin Seale Nurse Anesthetist, Certified Registered 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 2006-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1134762784 Kimberly J Adams Occupational Therapy Assistant 90 Clark Ave, Tupelo, MS 38804 2019-10-25
1790270924 Megan Guntharp Occupational Therapist 960 Commonwealth Boulevard, Tupelo, MS 38804 2018-06-29
1154867562 Urologic Ambulatory Surgery Center, LLC Clinic/Center 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 2017-01-09
1790235919 Dr Scott Dickinson D.m. D. PC Dentist 3999 N Gloster Street, Tupelo, MS 38804 2016-10-12
1326496621 Angela Estes Occupational Therapist County Road 1279 House#197, Tupelo, MS 38804 2016-05-26
1316300080 Eric Wade Tillotson Family Medicine 1665 South Green Street, Tupelo, MS 38804 2016-03-31
1104238898 Stella M. Johnson Social Worker 2292 Camelot Cir, Tupelo, MS 38804 2014-05-29
1821437351 Lenka Petersen Student in an Organized Health Care Education/Training Program 1665 S Green St., Nmmc, Tupelo, MS 38804 2013-06-18
1083966303 Jessica M Baskett Counselor 398 E Main St, Tupelo, MS 38804 2012-10-10
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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
1528236890 David A Vance Nurse Anesthetist, Certified Registered 830 South Glaster, Tupelo, MS 38801 2008-02-20
1598858383 Paul M. Baker Nurse Anesthetist, Certified Registered 2015 Van St, Tupelo, MS 38804-1043 2006-10-02
1962518373 Debbie E Kelley Nurse Anesthetist, Certified Registered 589 Garfield Street, Tupelo, MS 38801 2006-08-21
1417974908 Mimi Cleveland Breedlove Nurse Anesthetist, Certified Registered 830 S Gloster, Tupelo, MS 38801 2006-07-17
1750309191 Lewis T Rogers Nurse Anesthetist, Certified Registered 830 South Gloster St, Tupelo, MS 38801 2006-07-17
1265031561 Lauren Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1972102275 Matthew Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1457958282 Benjamin Johnson Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-05
1205443348 Robert Adams Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-23
1538775317 Andrew Ballard Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-17
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City TUPELO
Zip Code 38804

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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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