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J R ANESTHESIA PROF LLC NPI 1790066363


NPI Information

NPI: 1790066363
Provider Name: J R ANESTHESIA PROF LLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
3615 5TH ST
100
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-6714
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J R ANESTHESIA PROF LLC is a nurse anesthetist certified registered in Rapid City, SD. 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. J R ANESTHESIA PROF LLC NPI is 1790066363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3615 5TH ST
100
RAPID CITY, SD
ZIP 57701-014
Phone: (605) 343-6714
Fax: (605) 343-2130

The provider's authorized official is Barry J Degen .
The authorized official title is Owner and has the following contact phone number (605) 381-5104.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 1/16/2020.


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

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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