TWICE NICE ANESTHESIA ASSOCIATES, PLLC - NPI NUMBER 1700211737

Summary

Provider Name: TWICE NICE ANESTHESIA ASSOCIATES, PLLC

NPI Number: 1700211737

Clasification: Nurse Anesthetist, Certified Registered (367500000X)

Address:
1000 PINE ST
TEXARKANA, TX
ZIP 75501

Phone Number: (469) 401-2386



Detailed Information

TWICE NICE ANESTHESIA ASSOCIATES, PLLC is a nurse anesthetist, certified registered in Texarkana, 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. The assigned NPI number for this provider is 1700211737 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

1000 PINE ST
TEXARKANA, TX
ZIP 75501-100
Phone: (469) 401-2386

The provider's authorized official is Michael Hicks .
The authorized official title is President and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 9/10/2013 and was last updated on 12/29/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 367500000X Nurse Anesthetist, Certified Registered No
2 207L00000X Anesthesiology Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1700211737 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name TWICE NICE ANESTHESIA ASSOCIATES, PLLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 1000 PINE ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name TEXARKANA The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 755015100 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 4694012386 The telephone number associated with the location address of the provider being identified.
11 Provider Enumeration Date 9/10/2013 The date the provider was assigned a unique identifier (assigned an NPI).
12 Last Update Date 12/29/2014 The date that a record was last updated or changed.
13 Authorized Official Last Name HICKS The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
14 Authorized Official First Name MICHAEL The first name of the authorized official.
15 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
16 Authorized Official Telephone Number 4694012386 The 10-position telephone number of the authorized official.
17 Healthcare Provider Taxonomy Code 1 367500000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Healthcare Provider Primary Taxonomy Switch 1 N
19 Healthcare Provider Taxonomy Code 2 207L00000X
20 Healthcare Provider Primary Taxonomy Switch 2 Y
21 Is Organization Subpart N
22 Authorized Official Credential Text MD
23 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
24 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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