SOUTH CENTRAL ANESTHESIA
NPI 1013358647
Nurse Anesthetist, Certified Registered in Ardmore, OK
- Organization
- Nurse Anesthetist, Certified Registered
About SOUTH CENTRAL ANESTHESIA
This page provides the complete NPI Profile along with additional information for South Central Anesthesia, a provider established in Ardmore, Oklahoma operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1013358647 assigned on July 2013. The practitioner's primary taxonomy code is 367500000X with license number R0089907 (OK). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as South Central Anesthesia. The authorized official of this NPI record is Jaclyn S Potts Crna (President)
- NPI
- 1013358647 Verify this NPI
- Provider Legal Name
- JACLYN S POTTS APRN-CRNA PC
- Other Organization Name
- SOUTH CENTRAL ANESTHESIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2002 12TH AVE NW STE C ARDMORE, OK 73401
- Location Phone
- (405) 715-3610
- Location Fax
- (405) 715-3612
- Mailing Address
- P.O. BOX 268988 OKLAHOMA CITY, OK 73126
- Mailing Phone
- (405) 715-3610
- Mailing Fax
- (405) 715-3612
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2013
- Last Update Date
- 10-31-2018
- Code Navigator
Location Map
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
- License No.
- R0089907
- License State
- OK
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ARDMORE, OK 73401
ARDMORE, OK 73401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013358647, enumerated as an "organization" on July 11, 2013.
The provider is located at 2002 12TH AVE NW STE C ARDMORE, OK 73401 and the phone number is (405) 715-3610.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
