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ETMC HENDERSON CRNA
NPI 1083848352
Nurse Anesthetist, Certified Registered in Henderson, TX

Active since May 14, 2009
300 WILSON ST, HENDERSON, TX 75652(903) 657-7541(903) 657-4009 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etmc Henderson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETMC HENDERSON CRNA (NPI 1083848352) is a healthcare organization registered as a nurse anesthetist, certified registered in Henderson, Texas and active in the NPI registry since May 2009. The organization lists Mark S Leitner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083848352
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameEAST TEXAS MEDICAL CENTER HENDERSON
Location Address300 WILSON STHenderson, TX 75652-5956
Mailing Address300 Wilson StHenderson, TX 75652-5956 · (903) 657-7541 · Fax (903) 657-4009
Phone(903) 657-7541
Fax(903) 657-4009
Organization SubpartYes
Authorized OfficialMark S LeitnerAdministrator · (903) 655-3616
Enumeration DateMay 14, 2009
Last NPPES UpdateJuly 19, 2011
✔ NPI 1083848352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(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.
300 WILSON ST, Henderson, TX 75652
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Other Names 1

Doing Business AsEtmc Henderson Crna

Other Identifiers 2

Medicare OSCAR/certificationTXB113653TX
Medicaid220328301TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENDERSON HOSPITAL, LLC
Internal Medicine
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 655-6536
MICA LADON NORMAN PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 655-6536
ADAM RANGINWALA MD
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Rusk County (615) 665-1283
HENDERSON MEMORIAL HOSPITAL
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 675-7541
HENDERSON MEMORIAL HOSPITAL
Clinic/Center
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 657-7541
TANAGER EMERGENCY PHYSICIANS PLLC
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Rusk County (954) 838-2371
DR. CHERYL ANN POLKOWSKI M.D.
Family Medicine
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 655-6536
AMANDA KAYE TRUBEY MSN, FNP-C
Nurse Practitioner (Family)
300 WILSON ST
HENDERSON, TX 75652
Rusk County (903) 646-4834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Medical Center Henderson's NPI number?

The NPI number for East Texas Medical Center Henderson is 1083848352. It was assigned to this organization in the NPPES registry on May 14, 2009. The provider is doing business as Etmc Henderson Crna.

Where is East Texas Medical Center Henderson located?

East Texas Medical Center Henderson is located at 300 Wilson St, Henderson, TX 75652. The listed phone number is (903) 657-7541.

What is East Texas Medical Center Henderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Henderson was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.