BO RAM CHUNG (NPI# 1720472020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472020 |
| Entity Type | Individual |
| Full Name | BO RAM CHUNG |
| Credential | CRNA |
| Practice Address |
1488 Jesse Jewell Pkwy Se Ste 100 Gainesville GA 30501-3804 |
| Practice Telephone | 7705327179 |
| Practice Fax Number | 7705341312 |
| Mailing Telephone | 7705327179 |
| Mailing Fax Number | 7705341312 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN194250 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1488 JESSE JEWELL PKWY SE STE 100 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578794921 | Emily Hammond Davoodi | Anesthesiology | 1488 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3804 | 2009-08-03 |
| 1790345221 | Vickie Vo | Anesthesiologist Assistant | 1488 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3804 | 2019-06-17 |
| 1831410620 | Kam Wong | Anesthesiology | 1488 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3804 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
| 1154839397 | Timothy Lemerrill White | Nurse Anesthetist, Certified Registered | 6820 Nw 57th Way, Gainesville, FL 32653-3209 | 2018-01-22 |
| 1609256155 | Joel Pellot | Nurse Anesthetist, Certified Registered | 4131 Nw 13th St Ste 101, Gainesville, FL 32609-1858 | 2015-05-30 |
| 1043565203 | Lexie Dauer | Nurse Anesthetist, Certified Registered | 1608 Sw Archer Rd, Gainesville, FL 32608 | 2012-07-13 |
| 1851613335 | Justin C Burney | Nurse Anesthetist, Certified Registered | 1329 Sw 16th St Room 2232, Gainesville, FL 32610-5925 | 2010-02-24 |
| 1972725919 | Alan-wayne Jude Howard | Nurse Anesthetist, Certified Registered | 4300 Nw 23rd Ave Ste 130, Gainesville, FL 32606-6541 | 2007-05-02 |
| 1629111224 | Louis Joseph Zaragoza | Nurse Anesthetist, Certified Registered | 524 County Road 174, Gainesville, TX 76240-2708 | 2007-02-14 |
| 1023115573 | Phyllis Mccarty | Nurse Anesthetist, Certified Registered | 6500 W. Newberry Road, Gainesville, FL 32605-4309 | 2006-09-19 |
| 1093822405 | Victoria Lee Coyne | Nurse Anesthetist, Certified Registered | 6400 W. Newberry Road, Suite 302, Gainesville, FL 32605 | 2006-08-23 |
| 1174530885 | Glenn Hunter Williams | Nurse Anesthetist, Certified Registered | Anesthesiology Service, Va Medical Center, 1601 Sw Archer Road, Gainesville, FL 32608 | 2006-08-02 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.