MR. ELDRIDGE L TAYLOR (NPI# 1669774667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669774667 |
| Entity Type | Individual |
| Full Name | MR. ELDRIDGE L TAYLOR |
| Credential | CRNA |
| Practice Address |
225 Jasmine Dr Jackson MS 39212-3283 |
| Practice Telephone | 6012129272 |
| Mailing Telephone | 6012129272 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R864321 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03551301 | 05 |
| Street Address |
225 JASMINE DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295946655 | Ajuanzie Lucianna Ross | Speech-Language Pathologist | 225 Jasmine Dr, Jackson, MS 39212-3283 | 2007-05-25 |
| 1003172149 | Communication Connects | Early Intervention Provider Agency | 225 Jasmine Dr, Jackson, MS 39212-3283 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| 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 |
|---|---|---|---|---|
| 1295232304 | Trumania Inc | Nurse Anesthetist, Certified Registered | 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 | 2018-04-06 |
| 1902287501 | Timothy Parrish | Nurse Anesthetist, Certified Registered | 27 Red Deer Cv, Jackson, TN 38305-6485 | 2015-06-09 |
| 1821345398 | Denicia Maria Rankin | Nurse Anesthetist, Certified Registered | 88 Boyd Dr, Jackson, TN 38305-2152 | 2012-08-14 |
| 1437425717 | Sheela Federici | Nurse Anesthetist, Certified Registered | 545 Rutledge St, Jackson, MI 49203-1113 | 2012-03-30 |
| 1164611240 | Yvette George | Nurse Anesthetist, Certified Registered | 105 F Stonebrook Pl, Jackson, TN 38305 | 2007-10-15 |
| 1194843110 | Patricia Lynn Koprivica | Nurse Anesthetist, Certified Registered | 5919 Amber, Jackson, MI 49201-8389 | 2007-03-27 |
| 1215055454 | Eunai Danek | Nurse Anesthetist, Certified Registered | 2571 Cascade Creek Dr, Jackson, MI 49203-3771 | 2007-03-26 |
| 1508950064 | Mark Combs | Nurse Anesthetist, Certified Registered | 205 North East Ave, Anesthesia Department, Jackson, MI 49201 | 2006-10-02 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| 1932292596 | James Gerard Brown | Nurse Anesthetist, Certified Registered | Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 | 2006-10-02 |
| Find all providers in JACKSON | ||||
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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.