MARY EZEM (NPI# 1952681280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952681280 |
| Entity Type | Individual |
| Full Name | MARY EZEM |
| Credential | CRNA |
| Practice Address |
80 Seymour Street Hartford CT 06141-0540 |
| Mailing Address |
99 East River Drive 5th Floor East Hartford CT 06108-7301 |
| Practice Telephone | 8605452117 |
| Practice Fax Number | 8605451784 |
| Mailing Telephone | 8602824022 |
| Mailing Fax Number | 8602890742 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4710 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 SEYMOUR STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06141-0540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323426 | Rohini Ruth Becherl | Family Medicine | 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 | 2005-06-01 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1619523388 | Thomas John Basil | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-08-17 |
| 1275188161 | Sara E Hughes | Nurse Practitioner | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-08-07 |
| 1790339166 | Jared C Walsh | Physician Assistant | 80 Seymour Street, Cvo Provider Enrollment, Hartford, CT 06102-8000 | 2019-07-24 |
| 1740848803 | Tara J Dempsey | Physician Assistant | 80 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2019-06-04 |
| 1790349488 | Mark J Sorel | Physician Assistant | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-8000 | 2019-04-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1821558461 | Alysse K Pazienza | Physician Assistant | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-03-20 |
| 1760956569 | Kathryn Vignati | Physician Assistant | 80 Seymour Street, Department of Surgery, Hartford, CT 06102-5037 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801088026 | Christina Ann Biello | Anesthesiology | 80 Seymour Streeet, Hartford, CT 06141-0540 | 2007-08-11 |
| 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 |
|---|---|---|---|---|
| 1548317670 | Donna Marie Lupien | Nurse Anesthetist, Certified Registered | 26241 459th Ave, Hartford, SD 57033-6815 | 2007-01-04 |
| 1922192137 | Charles Thornton Morse Jr. | Nurse Anesthetist, Certified Registered | 1740 State Route 1414, Hartford, KY 42347-8904 | 2006-10-03 |
| 1255342382 | Brenda Jaime Bargielski | Nurse Anesthetist, Certified Registered | 80 Seymour St # Jb333, Hartford Anesthesiology Associates Inc, Hartford, CT 06106-3315 | 2006-08-11 |
| 1750352712 | Robert L Wright | Nurse Anesthetist, Certified Registered | 1211 Main St, Hartford, KY 42347-1619 | 2006-01-30 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1053939231 | Daniel Guilmette | Nurse Anesthetist, Certified Registered | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-14 |
| 1679191415 | Joanna Cambria | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3300 | 2020-07-08 |
| 1033732094 | Brandon Dube | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-26 |
| 1003437724 | Alison Couture | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-05 |
| 1639790306 | Jacob Wayne | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-04 |
| Find all providers in HARTFORD | ||||
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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.