JERRY R TOWN


Address: 900 E Broadway Avenue, Bismarck, NC 58501
Phone: 7015307000

JERRY R TOWN (NPI# 1841343191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841343191
Entity Type Individual
Full Name JERRY R TOWN
Credential CRNA
Practice Address 900 E Broadway Avenue
Bismarck
NC 58501
Mailing Address 900 E Broadway Avenue
P.o. Box 5510
Bismarck
NC 58506-5510
Practice Telephone 7015307000
Practice Fax Number 7015308842
Mailing Telephone 7015307000
Mailing Fax Number 7015308842
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R20847 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 12484 05

Office Location

Street Address 900 E BROADWAY AVENUE
City BISMARCK
State NC
Zip Code 58501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558348193 Timothy M. Gold Anesthesiology 900 E Broadway Avenue, Bismarck, ND 58501-4520 2005-12-26
1669884920 Morris O Duffy Physician Assistant 900 E Broadway Avenue, Bismarck, ND 58501-4520 2014-05-21
1750561759 Nicole M Sebastian Speech-Language Pathologist 900 E Broadway Avenue, Bismarck, ND 58501 2007-11-07
1336283928 St Alexius Medical Center Pharmacy 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1063556652 Gloria D Wolf Nurse Practitioner 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1235273855 Shelley Porter Dietitian, Registered 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1376687046 Gary Ritter Nurse Anesthetist, Certified Registered 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1184760043 Valentine Wangler Social Worker 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-29
1598819856 John J Hagan Internal Medicine 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-23
1356495592 Melissa Horner Nurse Practitioner 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
1679042519 Prairie Rose Family Dentists Dentist 1110 College Dr., Suite 110, Bismark, ND 58501 2018-11-21
1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083196505 Thrive Anesthesia Services, Incorporated Nurse Anesthetist, Certified Registered 2000 Schafer St Ste E, Bismarck, ND 58501-1204 2018-08-31
1629433982 Preston Wilbert Huber Nurse Anesthetist, Certified Registered 718 San Angelo Dr, Bismarck, ND 58504-7440 2015-12-30
1194743542 Cathy M Schmitz Nurse Anesthetist, Certified Registered 600 N 9th St, Bismarck, ND 58501-4112 2006-07-17
1598795767 Kathryn Mae Kovar Nurse Anesthetist, Certified Registered 108 Redstone Dr, Bismarck, ND 58503-1463 2006-07-04
1336772839 Deanne Hice Nurse Anesthetist, Certified Registered 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-02-13
1699306423 Chelsea Lingle Nurse Anesthetist, Certified Registered 300 N 7th St, Bismarck, ND 58501-4439 2020-01-30
1447897897 701 Anesthesia Associates, Pllc Nurse Anesthetist, Certified Registered 401 N 9th St, Bismarck, ND 58501-4530 2019-12-04
1841754983 Jacob Szajkowski Nurse Anesthetist, Certified Registered 900 E Broadway Ave, Bismarck, ND 58501-4586 2019-01-23
1598203895 Nathan Roehrich Nurse Anesthetist, Certified Registered 300 N 7th St, Bismarck, ND 58501-4439 2017-02-07
1659816395 Kari A. Emery Nurse Anesthetist, Certified Registered 900 E Broadway Ave, Bismarck, ND 58501-4520 2017-01-04
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City BISMARCK
Zip Code 58501

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Dataset Information

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.

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