MR. TOMMIE OLEN CORNELIUS II (NPI# 1821586835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821586835 |
| Entity Type | Individual |
| Full Name | MR. TOMMIE OLEN CORNELIUS II |
| Credential | CRNA |
| Practice Address |
1068 Cresthaven Rd Ste 150 Memphis TN 38119-3859 |
| Practice Telephone | 9016826828 |
| Practice Fax Number | 9016829316 |
| Mailing Telephone | 9016826828 |
| Mailing Fax Number | 9016826828 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 24491 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1068 CRESTHAVEN RD STE 150 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598923039 | Vipul Hasmukh Saparia | Anesthesiology | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2008-05-31 |
| 1144845348 | William Tyler Cox | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2020-06-12 |
| 1821613282 | Brian Bougard | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2020-06-11 |
| 1588284459 | Tyler Kirk Kilpatrick | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2020-04-21 |
| 1770136855 | Alaina Little | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2019-07-18 |
| 1720644743 | Jeremiah Cole | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2019-05-15 |
| 1639655020 | Damani Kobie Johnson | Registered Nurse | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2018-07-18 |
| 1649766106 | Megan Songer Ruszczyk | Registered Nurse | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2018-07-09 |
| 1275021891 | Kevin Douglas Bohannon | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2018-04-30 |
| 1881124253 | Rachel Tonahill | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2017-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1215469416 | Victoria Peacock | Nurse Anesthetist, Certified Registered | 6455 Poplar Ave, Apt 302, Memphis, TN 38119-4875 | 2017-03-28 |
| 1740733781 | Joshua Donnan | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd Ofc, Suite 150, Memphis, TN 38119-0800 | 2016-07-26 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285901173 | Independent Anesthesia Services | Nurse Anesthetist, Certified Registered | 5179 Gwynne Rd, Memphis, TN 38117-3419 | 2011-11-21 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| 1699005975 | Robert S Chamblee | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy Suite 330, Memphis, TN 38120 | 2010-01-08 |
| 1558528562 | Shannon Bontemps | Nurse Anesthetist, Certified Registered | 111 Harbor Ridge Ln S, Memphis, TN 38103-0843 | 2008-05-19 |
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1710163092 | Laura E Hartzell | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2008-01-16 |
| Find all providers in MEMPHIS | ||||
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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.