JERRY ROBERT JURECIC (NPI# 1821335902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821335902 |
| Entity Type | Individual |
| Full Name | JERRY ROBERT JURECIC |
| Credential | CRNA |
| Practice Address |
580 W College Ave Marquette MI 49855-2736 |
| Mailing Address |
755 S Vandenboom Rd Marquette MI 49855-9455 |
| Practice Telephone | 9062253035 |
| Practice Fax Number | 9062253697 |
| Mailing Telephone | 9063623312 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704269918 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| 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 |
|---|---|---|---|---|
| 1013525112 | South Shore Anesthesia Staffing | Nurse Anesthetist, Certified Registered | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-07-15 |
| 1700409141 | Megan Lynn Prange | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-05-20 |
| 1386283067 | Joshua Rajala | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-12-30 |
| 1154773810 | Joseph Morris Holcomb | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2736 | 2016-07-06 |
| 1003288531 | Peter Skellenger | Nurse Anesthetist, Certified Registered | 714 Spruce St, Apt #e, Marquette, MI 49855-3747 | 2015-10-23 |
| 1841541695 | Dlp Marquette General Hospital LLC | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-09-19 |
| 1710257365 | Eric Bentlage | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2705 | 2012-01-12 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
| 1174845374 | Jeremy Joseph Lafave | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Department, Marquette, MI 49855-2711 | 2010-02-16 |
| Find all providers in MARQUETTE | ||||
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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.