TAMARA J SHORTRIDGE (NPI# 1891082020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891082020 |
| Entity Type | Individual |
| Full Name | TAMARA J SHORTRIDGE |
| Other Name | TAMARA J CANTRELL |
| Credential | CRNA |
| Practice Address |
327 Medical Park Dr Bridgeport WV 26330-9006 |
| Mailing Address |
Po Box 6866 Wheeling WV 26003-0923 |
| Practice Telephone | 3043421000 |
| Mailing Telephone | 3042332455 |
| Mailing Fax Number | 3042336073 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 69920 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
327 MEDICAL PARK DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078381 | James P Litwin Jr. | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2005-07-26 |
| 1497355218 | Justin Daniel Debusca | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-30 |
| 1902403934 | Kyle Lehosit | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-02 |
| 1003437633 | Jessica Lynn Carder | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-05-05 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1386298727 | Courtney Lynn Watkins | Nurse Practitioner | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-07-24 |
| 1689231441 | Olivia Campbell | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1538726369 | Timothy Bryan Mcginnis | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1235793134 | Caleb David Martin | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-04-25 |
| 1518422328 | Amber Nicole Riley | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1710252572 | Jonathon Stanley Scarborough | Nurse Anesthetist, Certified Registered | 1509 Dr. Hospital Drive, Bridgeport, TX 76426 | 2012-03-13 |
| 1033427943 | Sarah Jessica Harvey | Nurse Anesthetist, Certified Registered | 1370 Johnson Ave Ste 102, Bridgeport, WV 26330-1492 | 2010-09-14 |
| 1114078847 | Diana Lynn Hackett | Nurse Anesthetist, Certified Registered | 2157 Green Valley Rd, Bridgeport, WV 26330 | 2007-01-16 |
| 1285610527 | Cheryl Mullins-helt | Nurse Anesthetist, Certified Registered | 2800 Main Street, St Vincents Medical Center, Bridgeport, CT 06606 | 2005-12-19 |
| 1629078381 | James P Litwin Jr. | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2005-07-26 |
| 1497355218 | Justin Daniel Debusca | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-30 |
| 1083223903 | Victoria Piacquadio | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-07-27 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.