CLOVER ANESTHESIA PLLC (NPI# 1831716786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831716786 |
| Entity Type | Organization |
| Organization Name | CLOVER ANESTHESIA PLLC |
| Practice Address |
4090 Mapleshade Ln Ste 100 Plano TX 75093-0025 |
| Mailing Address |
Po Box 251514 Plano TX 75025-1514 |
| Practice Telephone | 2143907697 |
| Practice Fax Number | 8887706360 |
| Mailing Telephone | 2143907697 |
| Mailing Fax Number | 8887706360 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | VUDHI V SLABISAK (ADMIN) |
| Authorized Official Telephone | 2143907697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4090 MAPLESHADE LN STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-0025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265866727 | L & S Pharmacy Inc. | Pharmacy | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2013-09-02 |
| 1457978306 | Tradewind Management LLC | Clinic/Center | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2020-06-26 |
| 1679190524 | Callie Anesthesia Pllc | Anesthesiology | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2020-06-26 |
| 1356962468 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2020-04-29 |
| 1831670397 | Ntos LLC | Pain Medicine | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2018-08-23 |
| 1790283778 | Lumin Health Physician Group Pa | Pain Medicine | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2018-01-25 |
| 1316457393 | Christopher Thomas Stack | Physical Therapist | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497508 | Bd Anesthesia Associates Pllc | Anesthesiologist Assistant | 2024 W 15th St # F-364, Plano, TX 75075-7363 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642509 | George Ezzat Nicolas | Anesthesiologist Assistant | 6308 El Risco St, El Paso, TX 79912-2508 | 2020-06-02 |
| 1982244315 | Allied Anesthesia Pllc | Anesthesiologist Assistant | 12801 N Central Expy Ste 750, Dallas, TX 75243-1876 | 2020-01-14 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1336647874 | Charlie Phung | Anesthesiologist Assistant | 6431 Fannin St Ste 5020, Houston, TX 77030-1501 | 2018-01-30 |
| 1245765395 | Ashley Balinski | Anesthesiologist Assistant | 807 Bay Ave, Unit A, Kemah, TX 77565-2972 | 2017-04-26 |
| 1669922472 | Au Monitoring LLC | Anesthesiologist Assistant | 7445 Las Colinas Blvd, Irving, TX 75063-7561 | 2016-10-05 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1982074449 | Faa Servicespllc | Anesthesiologist Assistant | 11700 Preston Rd Ste 660-154, Dallas, TX 75230-6112 | 2015-09-28 |
| 1982070074 | Thomas Kennelly | Anesthesiologist Assistant | 6720 Bertner Ave # 226, Houston, TX 77030-2604 | 2015-08-12 |
| 1073906566 | Robert Wehner | Anesthesiologist Assistant | 14615 San Perdo, Suite 105, San Antonio, TX 78232-4364 | 2015-03-09 |
| Find all providers with the same taxonomy | ||||
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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.