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MR. JACK R SHEARER CRNA NPI 1265438980


NPI Information

NPI: 1265438980
Provider Name: MR. JACK R SHEARER, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3006
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MR. Jack R Shearer, CRNA is a nurse anesthetist certified registered in Memphis, 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. MR. Jack R Shearer, CRNA NPI is 1265438980. 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:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3006
Fax: (901) 595-3842

The enumeration date for this NPI number is 6/27/2005 and was last updated on 10/2/2012.


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 Registered144583TENNESSEEYes

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
1422400000MEDICAIDMAINE
2919333104MEDICAIDMISSOURI
3104694231MEDICAIDMICHIGAN
42524076MEDICAIDOHIO
59572MEDICAIDKANSAS
6010133181MEDICAIDVIRGINIA
7200522250AMEDICAIDINDIANA
83634134MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
91472115MEDICAIDLOUISIANA
10157589001MEDICAIDARKANSAS
11174264501MEDICAIDTEXAS
12200055730AMEDICAIDOKLAHOMA
13QAN028MEDICAIDSOUTH CAROLINA
1404132040MEDICAIDMISSISSIPPI
154307498MEDICAIDMONTANA
165440235MEDICAIDTENNESSEE

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.