MR. RANDALL VERZWYVELT (NPI# 1861763278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861763278 |
| Entity Type | Individual |
| Full Name | MR. RANDALL VERZWYVELT |
| Credential | CRNA |
| Practice Address |
2901 N 4th St Longview TX 75605-5128 |
| Mailing Address |
512 Meadowbrook Dr Longview TX 75601-3819 |
| Practice Telephone | 9037581818 |
| Mailing Telephone | 2252413849 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 808502 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2901 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952364234 | Mary Lynn Vassar | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2006-04-08 |
| 1730577404 | Kyle Bryce Coker | Nurse Anesthetist, Certified Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2015-01-05 |
| 1770986572 | Catrina Beard | Nurse Anesthetist, Certified Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2014-10-07 |
| 1710300785 | Rachel Marie Hagler | Nurse Anesthetist, Certified Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2014-01-28 |
| 1245532969 | Lori Mccool Guthrie | Nurse Practitioner | 2901 N 4th St, Longview, TX 75605-5128 | 2010-12-01 |
| 1093031866 | Justin Klein | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2010-04-19 |
| 1215264163 | Niki Michelle Fincher | Registered Nurse | 2901 N 4th St, Longview, TX 75605-5128 | 2009-11-13 |
| 1467682567 | Longview Regional Medical Center | General Acute Care Hospital | 2901 N 4th St, Longview, TX 75605-5128 | 2009-07-23 |
| 1881834166 | Brian Robert Schott | Nurse Anesthetist, Certified Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2009-02-26 |
| 1477791259 | Marie Latiolais Ostheimer | Nurse Anesthetist, Certified Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2009-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
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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 |
|---|---|---|---|---|
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1104123355 | William W. Burlingame | Nurse Anesthetist, Certified Registered | 1907 Warwick Circle East, Longview, TX 75601-3134 | 2011-02-24 |
| 1306140660 | Boiling Springs Anesthesia LLC | Nurse Anesthetist, Certified Registered | 6580 Judson Rd, Longview, TX 75605-7076 | 2010-12-30 |
| 1841521655 | Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | 718 Hollybrook Dr, Longview, TX 75605-2469 | 2010-01-18 |
| 1699001982 | Crystal Gaile Tucker | Nurse Anesthetist, Certified Registered | 3637 Us Highway 259 N Apt 801, Longview, TX 75605-7780 | 2009-10-22 |
| 1538276456 | Jerry Serville | Nurse Anesthetist, Certified Registered | 140 E Tyler St, Suite 100, Longview, TX 75601-7214 | 2006-08-24 |
| 1134150600 | John Ryan Mccubbin | Nurse Anesthetist, Certified Registered | 140 Timber Falls Dr, Longview, TX 75605-8277 | 2006-07-05 |
| 1720022338 | Norman Albert Guedry | Nurse Anesthetist, Certified Registered | 104 Michelle Dr, Longview, TX 75605-6150 | 2006-06-15 |
| 1902840515 | Bryan James Chappuis | Nurse Anesthetist, Certified Registered | 17 Stonegate Dr, Longview, TX 75601-3659 | 2006-06-15 |
| 1619963667 | Gregory Hays Harris | Nurse Anesthetist, Certified Registered | 906 Judson Rd, Longview, TX 75601-5113 | 2005-09-26 |
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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.