JASON JACK SPAH (NPI# 1730454273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730454273 |
| Entity Type | Individual |
| Full Name | JASON JACK SPAH |
| Credential | CRNA |
| Practice Address |
3015 3rd Ave Se Aberdeen SD 57401-5418 |
| Practice Telephone | 6052265514 |
| Mailing Telephone | 6052265514 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R038526 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3015 3RD AVE SE |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823978 | Christian Andrew Eby | Anesthesiology | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2005-09-28 |
| 1760093751 | Rosa Eyton | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2020-08-12 |
| 1700446200 | Leah Defea | Family Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2019-06-17 |
| 1245706001 | Charles Xavier Pugsley | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2018-10-19 |
| 1942792411 | Jenna Braun | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401 | 2018-05-31 |
| 1861923211 | Yang-ying Lin | Family Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2017-03-27 |
| 1629528591 | Angela Elizabeth Williams | Physician Assistant | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-10-04 |
| 1306395710 | Jordan Voss-severson | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-09-26 |
| 1689022584 | Nida Maham | Internal Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-06-01 |
| 1255707519 | Hafiz Rehman | Internal Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| 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 |
|---|---|---|---|---|
| 1578927349 | Andrew James Winterboer | Nurse Anesthetist, Certified Registered | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2016-04-07 |
| 1558705863 | Brock C Ball | Nurse Anesthetist, Certified Registered | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2013-04-18 |
| 1063856375 | Thomas R Schuster | Nurse Anesthetist, Certified Registered | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2013-04-18 |
| 1972841799 | Darcie L Tveidt | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2013-01-29 |
| 1912244898 | Taylor L Jenner | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2013-01-11 |
| 1891068045 | Andrew L Schott | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2012-02-20 |
| 1447589270 | Tadd E Thorson | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2009-12-07 |
| 1821225947 | Jon Mathew Sovell | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2009-06-16 |
| 1841470325 | Tricia L Marcuson | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2007-11-13 |
| 1225239569 | Jennifer L Timm | Nurse Anesthetist, Certified Registered | 305 S State St, Aberdeen, SD 57401-4527 | 2007-05-31 |
| Find all providers in ABERDEEN | ||||
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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.