JACKSONVILLE ANESTHESIA LLC
NPI 1205165065
Nurse Anesthetist, Certified Registered in Jacksonville, AL

NPI Status: Active since December 08, 2009

Contact Information

1701 PELHAM RD S
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-4970

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  • Organization
  • Nurse Anesthetist, Certified Registered

About JACKSONVILLE ANESTHESIA LLC

This page provides the complete NPI Profile along with additional information for Jacksonville Anesthesia Llc, a provider established in Jacksonville, Alabama operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1205165065 assigned on December 2009. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Jacksonville Anesthesia Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rob Clemens Md Phd (Ceo)

NPI
1205165065
Provider Name
JACKSONVILLE ANESTHESIA LLC
Entity Type
Organization
Location Address
1701 PELHAM RD S JACKSONVILLE, AL 36265
Location Phone
(256) 435-4970
Mailing Address
PO BOX 1547 SEDALIA, MO 65302
Mailing Phone
(660) 826-5960
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2009
Last Update Date
12-08-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROB CLEMENS MD PHD

Authorized Official Title
CEO
Authorized Official Phone
(660) 826-5960

Reviews for JACKSONVILLE ANESTHESIA LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205165065
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22052610012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 6 + 1 + 0 + 0 + 1 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1205165065 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407865900CALHOUN EMERGENCY GROUP LLC
Organization
Emergency Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(800) 893-9698
1457458820QHG OF JACKSONVILLE INC
Organization
Anesthesiology1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1841348125 MARY JENNIFER COFFMAN CRNA
Individual
Nurse Anesthetist, Certified Registered1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 782-4523
1952552788T-RAD INC
Organization
Radiology (Diagnostic Radiology)1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1023253762JACKSONVILLE EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1285945832 WADE BILGER CRNA
Individual
Nurse Anesthetist, Certified Registered1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1942506852PHYSICIAN SERVICES OF ALABAMA LLC
Organization
Specialist1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 835-8885
1285971895TIMOTHY B TABOR MD PC
Organization
Radiology (Diagnostic Radiology)1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 782-4529
1235575622STONEY BROOK EMERGENCY PHYSICIANS, PLLC
Organization
Emergency Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1255462214 DONNA RENEE APPLETON CRNA
Individual
Nurse Anesthetist, Certified Registered1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 782-4523
1316312028JACKSONVILLE ARISTO ER, LLC
Organization
Emergency Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1982058392 CHRISTINA JOY LATTA CRNP
Individual
Nurse Practitioner (Family)1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1265483267THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
Organization
General Acute Care Hospital1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1619983004THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
Organization
Psychiatric Unit1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1427503010THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
Organization
Internal Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 435-4970
1508824764DR. WILLIAM ERNEST TYNDALL M.D.
Individual
Emergency Medicine1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 413-1032
1073731774JACKSONVILLE MEDICAL PROFESSIONAL SERVICES LLC
Organization
Anesthesiology1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 820-5244
1871900605DR. JENNIFER SAVAGE BURGETT PHD, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1701 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 782-5423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205165065, enumerated in the NPI registry as an "organization" on December 08, 2009

The provider is located at 1701 Pelham Rd S Jacksonville, Al 36265 and the phone number is (256) 435-4970

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

This NPI record was last updated on December 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.