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WEST TENNESSEE ANESTHESIA PC NPI 1427137280


NPI Information

NPI: 1427137280
Provider Name: WEST TENNESSEE ANESTHESIA, PC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization

CLIA Number: 44D2033188

Address:
17C BRENTSHIRE SQUARE
JACKSON, TN
ZIP 38305
Phone: (731) 664-1717
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WEST TENNESSEE ANESTHESIA, PC is a nurse anesthetist certified registered in Jackson, TN. 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. WEST TENNESSEE ANESTHESIA, PC NPI is 1427137280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17C BRENTSHIRE SQUARE
JACKSON, TN
ZIP 38305-273
Phone: (731) 664-1717
Fax: (731) 664-7114

The provider's authorized official is Matthew Shane Long .
The authorized official title is Cfo and has the following contact phone number (731) 664-1717.

The CLIA number assigned to this NPI record is 44D2033188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/21/2022.


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 RegisteredYes

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
13604177MEDICAIDTENNESSEE

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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