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ROSWELL PROCEDURAL MEDICINE ASSOCIATES NPI 1366841587


NPI Information

NPI: 1366841587
Provider Name: ROSWELL PROCEDURAL MEDICINE ASSOCIATES

Doing Business As: SOUTHWEST PAIN MANAGEMENT

Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
7451 CHAPEL AVE
FORT WORTH, TX
ZIP 76116
Phone: (817) 294-7444
Get Directions

ROSWELL PROCEDURAL MEDICINE ASSOCIATES is a nurse anesthetist certified registered in Fort Worth, TX. 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. ROSWELL PROCEDURAL MEDICINE ASSOCIATES NPI is 1366841587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwest Pain Management.

The provider's business location address is:

7451 CHAPEL AVE
FORT WORTH, TX
ZIP 76116-090
Phone: (817) 294-7444
Fax: (817) 423-9060

The provider's authorized official is Robert Louis Delillo .
The authorized official title is Ceo, Cfo and has the following contact phone number (817) 966-2762.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.


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
1367500000XNurse Anesthetist, Certified Registered514647TEXASNo
2367500000XNurse Anesthetist, Certified RegisteredCRNA-01308NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18755UEOTHERTEXASBCBS
284396COTHERTEXASBCBS (PERSONAL)
3126047304MEDICAIDTEXAS
400C37J (CORPORATION)MEDICARE PINTEXAS
58L13887MEDICARE PINTEXAS
61245314640OTHERTEXASNPI (METRO CRNA SERVICES, INC)
700C37JOTHERTEXASBCBS (METRO C.R.N.A. SERVICES, INC)
8006995701 (CORP)MEDICAIDTEXAS
91013008721OTHERTEXASNPI (INDIVIDUAL)
10278429YMCVMEDICARE PINTEXAS

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

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