J R ANESTHESIA PROF LLC (NPI# 1790066363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790066363 |
| Entity Type | Organization |
| Organization Name | J R ANESTHESIA PROF LLC |
| Practice Address |
3615 5th St 100 Rapid City SD 57701-6014 |
| Mailing Address |
2014 Harney Dr Rapid City SD 57702-5113 |
| Practice Telephone | 6053436714 |
| Practice Fax Number | 6053432130 |
| Mailing Telephone | 6053815104 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | MR. BARRY J DEGEN (OWNER) |
| Authorized Official Telephone | 6053815104 |
| 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 |
3615 5TH ST 100 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465207 | Plastic Surgical Center of Rapid City, Prof. L.L.C. | Clinic/Center | 3615 5th St, Suite 100, Rapid City, SD 57701-6014 | 2005-11-29 |
| 1699215061 | Katie Mires | Pharmacist | 3615 5th St, Ste 109, Rapid City, SD 57701-6014 | 2017-03-03 |
| 1225497266 | Jody Cadotte | Nurse Practitioner | 3615 5th St, Suite, 101, Rapid City, SD 57701-6014 | 2016-02-18 |
| 1104290980 | Rapid City Medical Center LLP | Clinic/Center | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2015-11-17 |
| 1063729853 | Jennifer Faith Knowles | Nurse Practitioner | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2010-09-01 |
| 1972817286 | Rapid City Medical Center LLP | Surgery | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2010-07-28 |
| 1508178666 | Michele Plooster | Nurse Practitioner | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2010-07-06 |
| 1205954120 | Mary L Freidel | Specialist/Technologist, Other | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2007-03-27 |
| 1477683324 | Robert James Schutz | Plastic Surgery | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2007-03-07 |
| 1891888210 | Julie T Raymond | Surgery | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2006-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| 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 |
|---|---|---|---|---|
| 1073817870 | Anesthesia Solutions, PC | Nurse Anesthetist, Certified Registered | 540 Deadwood Ave, Suite 112, Rapid City, SD 57702-0395 | 2011-01-07 |
| 1528202967 | Mary E Bryant | Nurse Anesthetist, Certified Registered | 3748 Olympic Ct, Rapid City, SD 57702-0529 | 2009-04-29 |
| 1720031933 | Leroy R Messmer | Nurse Anesthetist, Certified Registered | 3615 5th Street, Suite 100, Rapid City, SD 57701 | 2006-05-18 |
| 1376523126 | Kara Lynn Mcmachen | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-01-18 |
| 1649265018 | Joseph Werner | Nurse Anesthetist, Certified Registered | 240 Minnesota St, Rapid City, SD 57701-6200 | 2005-09-13 |
| 1982699369 | Richard Carlson | Nurse Anesthetist, Certified Registered | 3615 5th St Ste 100, Rapid City, SD 57701 | 2005-09-13 |
| 1730713074 | Teresa Olive Ohlmacher | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-02-25 |
| 1821557943 | Trevor Rockwell Potts | Nurse Anesthetist, Certified Registered | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2019-03-18 |
| 1386135143 | Brittani Neely | Nurse Anesthetist, Certified Registered | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2018-05-28 |
| 1306334693 | Tyson Kurt Lange | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2018-04-23 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.