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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | MAC Anesthesia PLLC | 136 N. Water Street, Boone, NC 28607 |
Street Address |
3353 N GLOSTER ST |
City | TUPELO |
State | MS |
Zip Code | 38804-9735 |
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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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 |
Find all providers in zip 38804 |
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 |
---|---|---|---|---|
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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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.