BRAD DERSHEM (NPI# 1801146451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801146451 |
| Entity Type | Individual |
| Full Name | BRAD DERSHEM |
| Credential | CRNA |
| Practice Address |
540 Massachusetts Ave Apt 1 Boston MA 02118-1402 |
| Practice Telephone | 7732889440 |
| Mailing Telephone | 7732889440 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 192547-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
540 MASSACHUSETTS AVE APT 1 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| 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 |
|---|---|---|---|---|
| 1679132906 | Michael Schinis | Nurse Anesthetist, Certified Registered | 15 Saint Marks Rd Apt 2, Boston, MA 02124-2986 | 2019-06-11 |
| 1366865222 | Heather Saitta | Nurse Anesthetist, Certified Registered | 42 Anderson St, Unit 4, Boston, MA 02114-3653 | 2014-01-29 |
| 1184985269 | Nicole Mareno Escarra | Nurse Anesthetist, Certified Registered | Massachusetts General Hospital - Main Campus, 55 Fruit Street, Boston, MA 02114 | 2012-06-05 |
| 1649595596 | Corey L Southworth | Nurse Anesthetist, Certified Registered | 50 Staniford St # S50-1002, Boston, MA 02114-2517 | 2010-04-05 |
| 1558684811 | Sandra Rachel Klein | Nurse Anesthetist, Certified Registered | 55 Fruit St. Gray-bigelow 444, Massachusetts General Hospital Department of Anesthesia, Boston, MA 02114 | 2010-03-01 |
| 1548425572 | Massachusetts Eye and Ear Infirmary | Nurse Anesthetist, Certified Registered | 243 Charles St Fl 7, Boston, MA 02114-3002 | 2008-07-18 |
| 1033314406 | David Michael Tausevich | Nurse Anesthetist, Certified Registered | 10 Milford Street, Suite 3, Boston, MA 02118 | 2007-06-18 |
| 1164597092 | Lisa M Chyka | Nurse Anesthetist, Certified Registered | 50 Standiford St, C/o Ma Anesthesia Corp., Boston, MA 02115 | 2006-11-24 |
| 1750450656 | Brenda Jean Roy | Nurse Anesthetist, Certified Registered | Brigham & Womens Hospital 75 Francis St, Dept of Anesthesia, Boston, MA 02115 | 2006-11-06 |
| 1811921125 | Sarah A Lavalette | Nurse Anesthetist, Certified Registered | 398 Columbus Ave # 291, Boston, MA 02116-6008 | 2006-07-10 |
| Find all providers in BOSTON | ||||
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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.