MICHELLE S WOMBLE CUSTER (NPI# 1790850592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790850592 |
| Entity Type | Individual |
| Full Name | MICHELLE S WOMBLE CUSTER |
| Other Name | MICHELLE S WOMBLE |
| Credential | CRNA |
| Practice Address |
65 Waddell Rd Woodbury GA 30293-4008 |
| Practice Telephone | 7065736769 |
| Practice Fax Number | 7065533525 |
| Mailing Telephone | 7065736769 |
| Mailing Fax Number | 7065533525 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN149265 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 WADDELL RD |
| City | WOODBURY |
| State | GA |
| Zip Code | 30293-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750593430 | Southwest Medical Clinic, Inc | Internal Medicine | 64 Jones Mill Road, Suite B Box 517, Woodbury, GA 30293 | 2007-05-04 |
| 1295705184 | Michael Wayne Akins | Pharmacist | 40 Forest Lane, Woodbury, GA 30293 | 2006-01-24 |
| 1972737633 | Audrey Denise Ross | Case Manager/Care Coordinator | 5760 Jones Mill Rd, Woodbury, GA 30293-2101 | 2009-05-11 |
| 1205282209 | Hillary Vickery | Speech-Language Pathologist | 356 Covered Bridge Rd, Woodbury, GA 30293-2348 | 2016-05-09 |
| 1538635255 | Timothy Peter Daniel | Nurse Practitioner | 64a Jones Mill Rd, Woodbury, GA 30293-2678 | 2018-10-20 |
| 1912564618 | Meriwether Healthcare, L.L.C. | Clinic/Center | 64a Jones Mill Rd, Woodbury, GA 30293-2678 | 2019-05-29 |
| 1881862944 | Merwiether Co Health Department | Public Health or Welfare | 18425 Main St, Woodbury, GA 30293-2933 | 2008-02-12 |
| 1710957014 | U-save-it Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 18126 Main St, Woodbury, GA 30293-2945 | 2006-01-26 |
| 1366900391 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 410 Dromedary St, Woodbury, GA 30293-3560 | 2019-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1669079992 | Woodbury Surgery Center, LLC | Clinic/Center | 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 | 2020-10-09 |
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1326655093 | Shane Michael Hamp | Social Worker | 1000 Radio Dr Ste 210, Woodbury, MN 55125-8444 | 2020-09-28 |
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| 1457967895 | Lisa Eisenbacher | Technician, Other | 731 Bielenberg Dr Ste 102-103, Woodbury, MN 55125-1700 | 2020-09-21 |
| Find all providers in WOODBURY | ||||
| 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 |
|---|---|---|---|---|
| 1790158301 | John Mcshane | Nurse Anesthetist, Certified Registered | 758 Steeplechase Ct, Woodbury, NJ 08096-6821 | 2015-11-04 |
| 1407165947 | Sarah Ann Dorff | Nurse Anesthetist, Certified Registered | 10528 Bay View Ln, Woodbury, MN 55129-9271 | 2010-10-01 |
| 1619939501 | Russell Alan Hauge | Nurse Anesthetist, Certified Registered | 4864 Crown Ln, Woodbury, MN 55129-8900 | 2006-04-05 |
| 1457354904 | Sanford R. Stark | Nurse Anesthetist, Certified Registered | 323 S Girard St, Woodbury, NJ 08096-5759 | 2005-05-28 |
| 1790109817 | Cory Bryant | Nurse Anesthetist, Certified Registered | 509 N Broad St, Woodbury, NJ 08096-1617 | 2014-02-10 |
| 1932334554 | Patrick Teesdale Jr. | Nurse Anesthetist, Certified Registered | 509 N Broad St, Woodbury, NJ 08096-1617 | 2009-05-27 |
| 1942451901 | Scott Robert Schuster | Nurse Anesthetist, Certified Registered | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2008-10-08 |
| 1225292626 | Amy M Shirilla | Nurse Anesthetist, Certified Registered | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-07-15 |
| 1730361478 | Midwest Surgery Center | Nurse Anesthetist, Certified Registered | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2007-12-05 |
| 1790981991 | Paul Vincent Petrilli | Nurse Anesthetist, Certified Registered | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2007-06-25 |
| Find all providers in WOODBURY | ||||
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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.