Jeffrey I Kalish, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Jasper, GA
NPI 1700872116 · NPPES record last updated Oct 11, 2013
Key facts
- NPI
- 1700872116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 147022 (GA)
- Practice address
- 744 Noah Drive
Suite 113-315
Jasper, GA 30143 - Phone
- (706) 301-1098
- Fax
- (706) 301-9151
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1724492 | FL | MD | Certified Registered Nurse Anesthetist |
| 147022 | GA | MD | Certified Registered Nurse Anesthetist |
| 3099A | KY | MD | Certified Registered Nurse Anesthetist |
| 101-0031149 | VT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cobb Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northside Cherokee Anesthesia Consultants, PC | Past | Accepting new patients | |
| Tri-County Anesthesia, LLC | Past | Accepting new patients | |
| The New London Hospital Association, Inc. | Past | Accepting new patients | |
| Evangelical Community Hospital | Past | Accepting new patients | |
| Tri-County Anesthesia Volusia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Martin County Anesthesia Group PL | Past | Accepting new patients | |
| Newnan Anesthesia Associates, LLC | Past | Accepting new patients | |
| Georgia Anesthesiologists, PC | Past |
Accepting new patients | |
| North Fulton Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101-0031149 | VT | |
| Certified Registered Nurse Anesthetist | 367500000X | 1724492 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 147022 | GA | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 3099A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 048622-23-11 | NH |
Addresses
Primary practice location
744 Noah Drive
Suite 113-315
Jasper, GA 30143
Mailing address
744 Noah Dr
Suite 113-315
Jasper, GA 30143-8705
Phone (706) 301-1098
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011062 | Medicaid | VT | |
| 995335579K | Medicaid | GA | |
| 30342515 | Medicaid | NH | |
| 3050611 00 | Medicaid | FL |
Other providers in Jasper, GA
- Steven Horace Johnson II
- Jonathan Woolfson, MD, PC
- Atura Jordan
- Tevin Joseph
- Jane Jurma
- Verner Terrell Keeling
- Kenny Holloway OD PC
- Herschel L Kessler
- Michael Estel King
- Micheline Marie O'Haire Klein
All providers in Jasper, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.