WESLEY SCOTT CONN (NPI# 1699013656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699013656 |
| Entity Type | Individual |
| Full Name | WESLEY SCOTT CONN |
| Credential | CRNA |
| Practice Address |
100 Mallard Creek Rd Ste 320 Louisville KY 40207-5136 |
| Mailing Address |
55 Foundation Dr Flemingsburg KY 41041-9815 |
| Practice Telephone | 5026908782 |
| Practice Fax Number | 5024590923 |
| Mailing Telephone | 6068495000 |
| Mailing Fax Number | 6068495005 |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2015-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1109611 | KY | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3007910 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685940 | Wesley Edward Conn | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-03-25 |
| Street Address |
100 MALLARD CREEK RD STE 320 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211428 | Amie J. Cornell | Registered Nurse | 100 Mallard Creek Rd Ste 320, Louisville, KY 40207-5136 | 2005-08-09 |
| 1518110220 | Claudia Elizabeth Perez Martinez | Anesthesiology | 100 Mallard Creek Rd Ste 320, Louisville, KY 40207-5136 | 2008-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1528533031 | Katherine Berning | Nurse Anesthetist, Certified Registered | 3022 Eagle Pass, Louisville, KY 40217-1727 | 2018-10-11 |
| 1326559733 | Morgan Ann Baumgartle | Nurse Anesthetist, Certified Registered | Norton Children's Hospital 231 E. Chestnut St, Louisville, KY 40202 | 2017-10-12 |
| 1225385909 | Exacta Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 8809 Linn Station Rd, Louisville, KY 40222-5658 | 2012-08-13 |
| 1740543990 | Tiva Oba, L.L.C. | Nurse Anesthetist, Certified Registered | 4729 Razor Creek Way, Louisville, KY 40299-5533 | 2012-06-22 |
| 1124338579 | Kenneth Eugene Doyon | Nurse Anesthetist, Certified Registered | 601 S Floyd St Ste 407, Louisville, KY 40202-1837 | 2010-10-19 |
| 1508176058 | Jaclyn M Johanboeke | Nurse Anesthetist, Certified Registered | 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 | 2010-10-18 |
| 1487889143 | Sleep Ez Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 10301 Champion Farms Dr, Louisville, KY 40241-6129 | 2009-05-26 |
| 1700062726 | Jake Chris Chang | Nurse Anesthetist, Certified Registered | 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 | 2008-01-22 |
| 1205984366 | Stanley Ansel Kristiansen | Nurse Anesthetist, Certified Registered | 1702 Trevilian Way, Louisville, KY 40205-2057 | 2007-01-08 |
| 1841358355 | Michael Dewayne Hart | Nurse Anesthetist, Certified Registered | 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 | 2006-12-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.