KEVIN KOLLENKARK (NPI# 1871767558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871767558 |
| Entity Type | Individual |
| Full Name | KEVIN KOLLENKARK |
| Practice Address |
2755 Herndon Avenue Clovis CA 93612-8600 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 5593244000 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2010-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NA3684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 3684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2755 HERNDON AVENUE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137916 | Edward William Leone | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2006-01-05 |
| 1053639591 | Silvester K Kagunye | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93611-6800 | 2010-05-07 |
| 1184948283 | Eric Chen Li | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2010-03-17 |
| 1235365610 | Kenneth Tsai | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2009-05-30 |
| 1053581900 | David Weeks | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2008-03-06 |
| 1154513125 | Oren Erlichman | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2007-08-14 |
| 1649493842 | Amy Beth Saft | Nurse Anesthetist, Certified Registered | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2007-04-10 |
| 1750434783 | Oji Oji | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2007-01-21 |
| 1437211604 | Herbert Duran | Nurse Anesthetist, Certified Registered | 2755 Herndon Avenue, Clovis, CA 93612-6800 | 2006-12-14 |
| 1750469565 | Daniel Nguyen | Anesthesiology | 2755 Herndon Avenue, Clovis, CA 93611-6800 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| 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 |
|---|---|---|---|---|
| 1730797705 | Ryan James Tobin | Nurse Anesthetist, Certified Registered | 1786 El Paso Ave, Clovis, CA 93611-6601 | 2020-07-16 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1710389549 | Joel Higgins | Nurse Anesthetist, Certified Registered | 242 N Pierce Ave, Clovis, CA 93612-0175 | 2014-09-24 |
| 1922302926 | Lewis Pyper Bailey | Nurse Anesthetist, Certified Registered | 2100 N. Martin Luther King Jr Blvd, Clovis, NM 88101 | 2011-01-05 |
| 1043264617 | Lois A Swearingen | Nurse Anesthetist, Certified Registered | 80 Alamos Ave, #101, Clovis, CA 93612-3885 | 2006-05-19 |
| 1417943069 | Robert A Strobl | Nurse Anesthetist, Certified Registered | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2005-09-20 |
| 1720087547 | Royce Jones | Nurse Anesthetist, Certified Registered | 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9412 | 2005-07-14 |
| 1265090344 | Sleepy Plains Anesthesia LLC | Nurse Anesthetist, Certified Registered | 939 Curran Dr, Clovis, NM 88101-9507 | 2019-06-03 |
| 1437677820 | Jared Earl Dumas | Nurse Anesthetist, Certified Registered | 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9412 | 2017-09-06 |
| 1225466014 | Wesly Barton | Nurse Anesthetist, Certified Registered | 2217 Dillon Rd, Clovis, NM 88101-9454 | 2013-10-15 |
| Find all providers in CLOVIS | ||||
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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.