HENDRA YOSIA SITOMPUL (NPI# 1780191031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780191031 |
| Entity Type | Individual |
| Full Name | HENDRA YOSIA SITOMPUL |
| Credential | CRNA |
| Practice Address |
217 S 3rd St Danville KY 40422-1823 |
| Mailing Address |
230 W Main St Ste 200 Danville KY 40422-1873 |
| Practice Telephone | 9092391000 |
| Mailing Telephone | 8592363726 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3011997 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
217 S 3RD ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219835 | Joan Barker Haltom | Pharmacist | 217 S 3rd St, Pharmacy, Danville, KY 40422-1823 | 2005-07-14 |
| 1841801784 | Empact Midwest LLC | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2020-08-13 |
| 1548880206 | Hillary Hutchison | Registered Nurse | 217 S 3rd St, Danville, KY 40422-1823 | 2020-04-23 |
| 1346884095 | Jennifer L Devine | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-11-05 |
| 1205309390 | Cortney Renee Conklin | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-01-10 |
| 1659841088 | Andrea Michelle Tompkins | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-11-28 |
| 1376026252 | Michael Kyle Allen | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2018-09-07 |
| 1366938441 | Jordan Brittany Crutchfield | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-07-02 |
| 1023546942 | Beth Ann Burchett | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2017-05-24 |
| 1679005557 | Ich-epg Alliance, LLC | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| 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 |
|---|---|---|---|---|
| 1144737982 | Carl Edmond Wisecaver | Nurse Anesthetist, Certified Registered | 230 W Main St Ste 200, Danville, KY 40422-1873 | 2018-01-02 |
| 1043675929 | Stacey Vernon | Nurse Anesthetist, Certified Registered | 100 N Aademy Ave, Danville, PA 17822-2025 | 2015-12-21 |
| 1669742029 | Wilderness Trace Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 210 S. 2nd St., Danville, KY 40422-1804 | 2012-01-03 |
| 1902980519 | Donald Herbert Chamberlain | Nurse Anesthetist, Certified Registered | 142 South Main St., Danville, VA 24541 | 2006-10-24 |
| 1003828484 | James David Beal | Nurse Anesthetist, Certified Registered | 1000 E Main St., Danville, IN 46122-1948 | 2006-08-13 |
| 1821096892 | Brent L Dubois Jr. | Nurse Anesthetist, Certified Registered | 1177 Moore Rd, Danville, GA 31017-6245 | 2005-07-13 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| 1023628484 | Matthew Payne | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-07-31 |
| 1801413083 | Melissa Trees | Nurse Anesthetist, Certified Registered | 1000 E Main St, Danville, IN 46122-1948 | 2020-07-03 |
| 1083239701 | Matthew Scott Gulliver | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-09 |
| Find all providers in DANVILLE | ||||
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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.