MAIN STREET ANESTHESIA OF TEXAS, PA (NPI# 1700381761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700381761 |
| Entity Type | Organization |
| Organization Name | MAIN STREET ANESTHESIA OF TEXAS, PA |
| Practice Address |
4920 Ne Stallings Dr Nacogdoches TX 75965-1254 |
| Mailing Address |
6408 Inca Rd Fort Worth TX 76116-1968 |
| Practice Telephone | 9365699481 |
| Mailing Telephone | 8175291144 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | DAVID PATRICK LEACHMAN (PRESIDENT) |
| Authorized Official Telephone | 5756441983 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
4920 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630012 | Ronald Homer Hearne | Pathology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2005-06-27 |
| 1194331876 | Brittni Colleen Andrews | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2020-09-18 |
| 1699258608 | Hallie Bernard | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-09-14 |
| 1174005805 | Janice Lynn Waggoner | Physical Therapist | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-08-29 |
| 1972032670 | Amy Ellizabeth Bagley-krenek | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-06-06 |
| 1346786258 | Hannah Dunahoe | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-01-16 |
| 1316481492 | Stone Fort Inpatient Services Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2016-12-08 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1568834521 | Bastion Emergency Physicians, Pplc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-10-29 |
| 1629481932 | Jennifer Raegan Best | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2014-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750444931 | John George Haidinyak | Anesthesiology | 4920 Northeast Stallings Drive, Nacogdoches, TX 75961 | 2006-12-18 |
| 1255313581 | James Donald Davis | Anesthesiology | 3312 N University Dr, Suite J, Nacogdoches, TX 75965-2637 | 2005-11-14 |
| 1043490188 | Liesel E.a. Leedy Md Pa | Anesthesiology | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-11-06 |
| 1285813436 | John P Gray Md Pa | Anesthesiology | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-10-24 |
| 1043286883 | Liesel E.a. Leedy | Anesthesiology | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493440 | Gh Medical Management | Anesthesiology | 2201 K Ave, Plano, TX 75074-5974 | 2020-10-06 |
| 1235746694 | Haisuli Medical Consultants | Anesthesiology | 1910 N Big Spring St Ste 100, Midland, TX 79705-8883 | 2020-09-29 |
| 1851908826 | Woodhill Anesthesia Group Pllc | Anesthesiology | 8315 Walnut Hill Ln Ste 110, Dallas, TX 75231-4249 | 2020-09-24 |
| 1255947347 | Augustan Anesthesia Associates Pllc | Anesthesiology | Baylor Medical Ctr At Trophy Club, 2850 E Highway 114, Trophy Club, TX 76262-5302 | 2020-09-23 |
| 1972119659 | Envision Anesthesia Pllc | Anesthesiology | 416 Woodlake Dr, Allen, TX 75013-3436 | 2020-09-18 |
| 1578179578 | Silver Oak Anesthesia Services Pllc | Anesthesiology | 25312 Interstate 45 N, Spring, TX 77386-1449 | 2020-09-16 |
| 1861008831 | Ketamine Wellness Centers Houston, LLC | Anesthesiology | 12807 Haynes Rd Unit 1, Houston, TX 77066-1124 | 2020-09-16 |
| 1235742396 | Tricity Pain Associates Pa | Anesthesiology | 1011 S State Highway 16 Ste 5, Fredericksburg, TX 78624-4472 | 2020-08-28 |
| 1922618560 | Global Anesthesia Services Pllc | Anesthesiology | 6700 W County Road 44, Midland, TX 79707-2509 | 2020-08-07 |
| 1467062034 | June Knowlton LLC | Anesthesiology | 1006 Windsor Lakes Blvd Ste 150, Conroe, TX 77384-4975 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on MAIN STREET ANESTHESIA OF TEXAS, PA.
| 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.