Caressa Rae Southers (NPI# 1205252327, PAC ID# 2769606318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1205252327 |
| PAC ID by PECOS | 2769606318 |
| Professional Enrollment ID | I20140623000114 |
| Full Name | Caressa Rae Southers |
| Organization Legal Name | EAST RIVER ANESTHESIOLOGY INC |
| Address |
122 12th St Ext Princeton WV 24740-2352 |
| Phone Number | 3044877000 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2961770169 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 122 12th St Ext, Princeton, WV 24740-2352 | 3044877000 | EAST RIVER ANESTHESIOLOGY INC |
| Organization Legal Name | EAST RIVER ANESTHESIOLOGY INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Morrison | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Erez A Ofir | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Jodi Renea Bowles | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Kenneth Parker | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Sherri Burton Ross | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Ronald D Beatty | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Tal R Sutton | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Michael J Bowling | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Erica D Bailey | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Erica L Damewood | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Street Address |
122 12TH ST EXT |
| City | PRINCETON |
| State | WV |
| Zip | 24740-2352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Morrison | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Amos Mart Lane | Emergency Medicine | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Erez A Ofir | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Jodi Renea Bowles | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Kenneth Parker | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Joe Henry Hendricks Jr. | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Mary S Curry | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Sherri Burton Ross | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Ronald D Beatty | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Adam Dale Miller | Family Medicine | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PRINCETON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Caressa Rae Southers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.