SOLACE ANESTHESIA, LLC (NPI# 1962046151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962046151 |
| Entity Type | Organization |
| Organization Name | SOLACE ANESTHESIA, LLC |
| Practice Address |
12117 Cr 103 Oxford FL 34484 |
| Mailing Address |
400 10th St E Waconia MN 55387-4552 |
| Practice Telephone | 8882090305 |
| Practice Fax Number | 9524423620 |
| Mailing Telephone | 8882090305 |
| Mailing Fax Number | 9524423688 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | NATHAN J FOLEY (MANAGER) |
| Authorized Official Telephone | 3522864715 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12117 CR 103 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| 1235190356 | Nicholas A Maruniak | Pathology | 12109 Cr 103, Oxford, FL 34484 | 2006-03-29 |
| Find all providers in zip 34484 | ||||
| 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 |
|---|---|---|---|---|
| 1063873438 | Holder Anesthesia | Nurse Anesthetist, Certified Registered | 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 | 2016-03-14 |
| 1134567761 | Lori Gray | Nurse Anesthetist, Certified Registered | 2704 W Oxford Loop Ste 117, Oxford, MS 38655 | 2013-06-05 |
| 1205169521 | Willow Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 2704 W Oxford Loop, Suite 117, Oxford, MS 38655-5714 | 2009-09-18 |
| 1548405780 | Contessa Ward Fields | Nurse Anesthetist, Certified Registered | 2301south Lamar, Oxford, MS 38655 | 2008-12-02 |
| 1043259146 | Clifford Blaylock | Nurse Anesthetist, Certified Registered | 208 Rachelle Dr, Oxford, MS 38655-6135 | 2006-06-05 |
| 1609825959 | Jeffrey D Smith | Nurse Anesthetist, Certified Registered | 1440 Highway Dr, Oxford, AL 36203-1951 | 2006-05-06 |
| 1063492023 | Penneye Holder | Nurse Anesthetist, Certified Registered | 1208 Office Park Dr, Oxford, MS 38655-3597 | 2006-01-18 |
| 1972598415 | Richard D Sutherlin IIi | Nurse Anesthetist, Certified Registered | 518 College Hill Rd, Oxford, MS 38655-2026 | 2005-09-12 |
| 1093348351 | Oxford Anesthesia Group | Nurse Anesthetist, Certified Registered | 497 Azalea Dr Ste 101, Oxford, MS 38655-7907 | 2020-02-14 |
| 1932576550 | Charles Ezelle | Nurse Anesthetist, Certified Registered | 2704 W Oxford Loop, Suite 117, Oxford, MS 38655-5714 | 2015-08-31 |
| Find all providers in OXFORD | ||||
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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.