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QUINCY VINCENT LODGE CRNA NPI 1093999021


NPI Information

NPI: 1093999021
Provider Name: QUINCY VINCENT LODGE, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
6720 BERTNER AVE
HOUSTON, TX
ZIP 77030
Phone: (823) 355-2666
Get Directions

Quincy Vincent Lodge, CRNA is a nurse anesthetist certified registered in Houston, TX with 11 years of experience. The provider is (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. Quincy Vincent Lodge, CRNA NPI is 1093999021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6720 BERTNER AVE
HOUSTON, TX
ZIP 77030-604
Phone: (823) 355-2666

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)
  • Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

The enumeration date for this NPI number is 12/27/2007 and was last updated on 4/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC0200XRegistered NurseCritical Care Medicine26NR12004300NEW JERSEYNo
2163WC0200XRegistered NurseCritical Care MedicineRN583285PENNSYLVANIANo
3163WC0200XRegistered NurseCritical Care Medicine558308-1NEW YORKNo
4367500000XNurse Anesthetist, Certified Registered583285PENNSYLVANIANo
5367500000XNurse Anesthetist, Certified Registered854745TEXASNo
6367500000XNurse Anesthetist, Certified RegisteredAP125701TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.