BLACK RIVER ANESTHESIA, PLC
NPI 1124174271
Nurse Anesthetist, Certified Registered in Pocahontas, AR

Q: What is Black River Anesthesia, Plc's NPI number?

The NPI number for Black River Anesthesia, Plc is 1124174271. It was assigned to this organization in the NPPES registry on January 25, 2007.

Q: What is Black River Anesthesia, Plc's specialty?

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

Active since January 25, 2007

2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455(870) 972-8053(870) 972-8053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Black River Anesthesia, Plc NPPES

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

BLACK RIVER ANESTHESIA, PLC (NPI 1124174271) is a healthcare organization registered as a nurse anesthetist, certified registered in Pocahontas, Arkansas and active in the NPI registry since January 2007. The organization lists Susan Lynn Wyatt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124174271

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameBLACK RIVER ANESTHESIA, PLC

Location Address2801 MEDICAL CENTER DRPocahontas, AR 72455-9436

Mailing AddressPo Box 1288Jonesboro, AR 72403-1288 · (870) 972-8053 · Fax (870) 972-8053

Phone(870) 972-8053

Fax(870) 972-8053

Organization SubpartNo

Authorized OfficialSusan Lynn WyattOffice Manager · (870) 972-8053

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124174271 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

License✔ Licensed in AR · C00474 CRNA

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.

2801 MEDICAL CENTER DR, Pocahontas, AR 72455

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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 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.

ASSOCIATED HEALTHCARE SYSTEMS OF RANDOLPH COUNTY

General Acute Care Hospital