CHRISTUS GOOD SHEPHERD MEDICAL CENTER
NPI 1760908404
Anesthesiology in Marshall, TX

Q: What is Christus Good Shepherd Medical Center's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since August 15, 2017CLIA 45D2036393 · Accreditation

811 S WASHINGTON AVE, MARSHALL, TX 75670(903) 927-6000(903) 927-6101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 18, 2017 and 1 more (4 updates tracked since 2017).

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About Christus Good Shepherd Medical Center NPPES

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

CHRISTUS GOOD SHEPHERD MEDICAL CENTER (NPI 1760908404) is a healthcare organization registered as an anesthesiology in Marshall, Texas and active in the NPI registry since August 2017. The organization holds an CLIA Accreditation certificate valid through March 25, 2028, maintains 5 additional practice locations, and lists Norman Todd Hancock, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1760908404

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameCHRISTUS GOOD SHEPHERD MEDICAL CENTER

Location Address811 S WASHINGTON AVEMarshall, TX 75670-5336

Mailing Address811 S Washington AveMarshall, TX 75670-5336 · (903) 927-6000 · Fax (903) 927-6101

Phone(903) 927-6000

Fax(903) 927-6101

Organization SubpartNo

Authorized OfficialNorman Todd HancockPresident/ceo · (903) 315-4129

Enumeration DateAugust 15, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1760908404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

811 S WASHINGTON AVE, Marshall, TX 75670

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Secondary Practice Locations 5

Location 1700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-2000

Location 2703 E Marshall Ave Ste 2000Longview, TX 75601-5500 · Phone (903) 315-5300

Location 31612 S Henderson BlvdKilgore, TX 75662-3518 · Phone (903) 983-2492 · Fax (903) 984-5367

Location 4323 E Hawkins Pkwy Ste DLongview, TX 75605-8165 · Phone (903) 544-6700 · Fax (903) 544-6735

Location 5323 E Hawkins Pkwy Ste ELongview, TX 75605-8166 · Phone (903) 544-6700 · Fax (903) 544-6735

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2036393

Christus Good Shepherd Medical Center-Kilgore · Kilgore, TX

Active · expires Mar 25, 2028

CLIA Number45D2036393

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorDr. Melton H. Fish

Laboratory Phone(903) 315-2015

Laboratory LocationChristus Good Shepherd Medical Center-Kilgore1612 S Henderson, Kilgore, TX 75662

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 18

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

THOMAS WILLIAM KRUDEWIG CRNA

Nurse Anesthetist, Certified Registered