PAUL KISUCKY LLC
NPI 1790340974
Nurse Anesthetist, Certified Registered in Las Cruces, NM

Q: What is Paul Kisucky LLC's NPI number?

The NPI number for Paul Kisucky LLC is 1790340974. It was assigned to this organization in the NPPES registry on May 3, 2019.

Q: What is Paul Kisucky LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Kisucky LLC was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 03, 2019

925 S WALNUT ST, LAS CRUCES, NM 88001(575) 523-6330 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Paul Kisucky Llc NPPES

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

PAUL KISUCKY LLC (NPI 1790340974) is a healthcare organization registered as a nurse anesthetist, certified registered in Las Cruces, New Mexico and active in the NPI registry since May 2019. The organization maintains a secondary practice location in El Paso and lists Paul J Kisucky, Owner, as its authorized official.

NPPES Registry Identity

NPI1790340974

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePAUL KISUCKY LLC

Location Address925 S WALNUT STLas Cruces, NM 88001-3955

Mailing Address205 W Boutz Rd Bldg 1Las Cruces, NM 88005-3259 · (575) 532-7033 · Fax (575) 556-7139

Phone(575) 523-6330

Organization SubpartNo

Authorized OfficialPaul J KisuckyOwner · (915) 301-5091

Enumeration DateMay 3, 2019

✔ NPI 1790340974 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.

925 S WALNUT ST, Las Cruces, NM 88001

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Secondary Practice Location 1

Location 110500 Vista Del Sol Dr Ste BEl Paso, TX 79925-7925 · Phone (915) 246-1352

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

Other Providers at the Same Location NPPES 6

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

IYAMU ANESTHESIA SOLUTIONS LLC

Nurse Anesthetist, Certified Registered