PALO DURO ANESTHESIA PLLC (NPI# 1750916169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750916169 |
| Entity Type | Organization |
| Organization Name | PALO DURO ANESTHESIA PLLC |
| Practice Address |
1900 Medi Park Dr Amarillo TX 79106-2187 |
| Mailing Address |
211 Aoudad Ranch Trl Amarillo TX 79118-1441 |
| Practice Telephone | 8063559447 |
| Mailing Telephone | 8062066942 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | JEFFERY M GREEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8062066942 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 MEDI PARK DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039959 | David Wilhelm | Urology | 1900 Medi Park Dr, Amarillo, TX 79106-2104 | 2005-11-02 |
| 1730538133 | Charity Lynn Gardner | Nurse Practitioner | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2016-06-07 |
| 1871923532 | Julie Rowan | Nurse Practitioner | 1900 Medi Park Dr, Amarillo, TX 79106 | 2013-11-17 |
| 1376855312 | Natalie P Gaines | Urology | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2010-07-07 |
| 1851617310 | James Rex Lemert Jr. | Urology | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2010-04-08 |
| 1275762874 | Jeremy Allen Parker | Physician Assistant | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2009-07-06 |
| 1467596734 | Robert Houston Ritter | Urology | 1900 Medi Park Dr, Amarillo, TX 79106-2104 | 2007-02-19 |
| 1740373976 | Amarillo Urology Associates LLP | Specialist | 1900 Medi Park Dr, Amarillo, TX 79106-2104 | 2006-10-02 |
| 1124076294 | James Harry Stafford | Radiology | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2006-05-04 |
| 1518948751 | Virgil Albert Pate IIi | Urology | 1900 Medi Park Dr, Amarillo, TX 79106-2104 | 2005-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1104264886 | Cislyn Blake Brantley | Nurse Anesthetist, Certified Registered | 2201 Civic Cir Ste 503, Amarillo, TX 79109-1843 | 2013-06-04 |
| 1841556115 | Tomas Estrada | Nurse Anesthetist, Certified Registered | 6907 Longleaf Ln, Amarillo, TX 79124-3920 | 2012-04-11 |
| 1831176049 | Edgar Lee Garner | Nurse Anesthetist, Certified Registered | 800 Quail Creek Dr Ste 103, Amarillo, TX 79124-1634 | 2005-12-29 |
| 1487638128 | David Glen Mitchell | Nurse Anesthetist, Certified Registered | 7310 Fleming Ave, Amarillo, TX 79106-1807 | 2005-12-06 |
| 1588660500 | Dorothy L Lee | Nurse Anesthetist, Certified Registered | 7100 Sw 9th Ave, Amarillo, TX 79106-1704 | 2005-06-23 |
| 1104431576 | Gregory Allan Fenchel Jr. | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-09-12 |
| 1205458320 | William Richard Brown | Nurse Anesthetist, Certified Registered | 7100 W 9th Ave, Amarillo, TX 79106-1704 | 2020-05-12 |
| 1063049245 | Joshua Michael Pritchet | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-03-26 |
| 1386276046 | Gennaro Buontempo | Nurse Anesthetist, Certified Registered | 7100 Sw 9th Ave, Amarillo, TX 79106-1704 | 2020-02-10 |
| 1659938512 | Amber Doden | Nurse Anesthetist, Certified Registered | 7100 Sw 9th Ave, Amarillo, TX 79106-1704 | 2019-05-24 |
| Find all providers in AMARILLO | ||||
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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.