MR. CRAIG K SUDERMAN


Address: 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045
Phone: 7196303937

MR. CRAIG K SUDERMAN (NPI# 1730157595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730157595
Entity Type Individual
Full Name MR. CRAIG K SUDERMAN
Credential CRNA
Practice Address 4026 Jerry Murphy Rd
Pueblo
CO 81001-1045
Mailing Address Po Box 3750
Salt Lake City
UT 84110-3750
Practice Telephone 7196303937
Practice Fax Number 7196353578
Mailing Telephone 8008803566
Mailing Fax Number 7707016675
Enumeration Date 2006-03-09
Last Update Date 2019-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered APN.004185-CRNA CO Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered RN-165502 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4026 JERRY MURPHY RD
City PUEBLO
State CO
Zip Code 81001-1045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205317054 Skyline Surgery Center, LLC Clinic/Center 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 2018-08-28
1295073252 Suderman Anesthesia Inc Nurse Anesthetist, Certified Registered 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 2013-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588222863 1111 Bonforte Opco LLC Respite Care 855 Hunter Dr., Pueblo, CO 81001 2019-06-03
1992276026 Andrew Benjamin Basham Counselor 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 2018-12-16
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1457781262 Ron Concialdi Dentist 2037 Jerry Murphy Rd., Pueblo, CO 81001 2013-11-14
1609146950 Natasha Liette Mondragon Registered Nurse 1302 E. 5th, Pueblo, CO 81001 2012-01-04
1023303575 Malinda Lee Davis Registered Nurse 1302 E 5th, Pueblo, CO 81001 2011-06-13
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
1730380882 Corrine Stella Tafoya Counselor 44 Calhoun Rd, Pueblo, CO 81001 2007-05-29
1518171008 George Henry Beck Dentist 1700 N Salem Ave, Suite A, Pueblo, CO 81001 2007-05-10
Find all providers in zip 81001

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1245620830 Tori Taylor Nurse Anesthetist, Certified Registered 112 W D St Ste 210-a, Pueblo, CO 81003-3461 2015-02-03
1437417748 Trevor R Willardson Nurse Anesthetist, Certified Registered 400 West 16th, Pueblo, CO 81003-2828 2012-04-25
1790979219 Elizabeth Gillum Wentling Nurse Anesthetist, Certified Registered 408 N Main St Fl 2, Pueblo, CO 81003 2007-08-28
1881899755 Serena M. Ackerman Nurse Anesthetist, Certified Registered 400 West 16th Street, Pueblo, CO 81003-2745 2007-06-19
1255432555 Leah Sue Carpenter Nurse Anesthetist, Certified Registered 1218 N Main St, Pueblo, CO 81003-2828 2006-09-26
1598794190 Rex Lawrence Dillehay Nurse Anesthetist, Certified Registered 1828 Chianti Ct, Pueblo, CO 81001-9700 2006-07-03
1740248079 Dena Edmunds Nurse Anesthetist, Certified Registered 112 W D St, Suite 210-a, Pueblo, CO 81003-3461 2006-05-03
1821607938 Lisa C Carter Nurse Anesthetist, Certified Registered 408 N Main St Fl 2, Pueblo, CO 81003-3123 2020-07-24
1467083881 Erik Matthews Wickstrum Nurse Anesthetist, Certified Registered 400 W 16th St, Pueblo, CO 81003-2781 2020-02-04
Find all providers in PUEBLO

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City PUEBLO
Zip Code 81001

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Dataset Information

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.

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