Northstar Anesthesia of Tennessee, PLLC
Organization Active NPI Anesthesiology Physician · McMinnville, TN
NPI 1821390451 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1821390451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- NORTHSTAR ANESTHESIA OF TENNESSEE, PLLC
- Practice address
- 1559 Sparta St
McMinnville, TN 37110-1316 - Phone
- (817) 861-3994
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Philip W Eichenholz, MD
- Title
- Chairman/Ceo
- Phone
- (817) 861-3994
Practitioners 87
-
Andi Marie Anderson, CRNA
-
Bryan Clifford Anderson, DNAP
-
Jonathan O Anderson, CRNA
-
Daniel Linn Booten, CRNA
-
Colton Hunter Brown, CRNA
-
Cary Carter, CRNA
-
Maciej Chec, RN
-
Jeremiah Cole, CRNA
-
Charles K Dudley, CRNA
-
Jeffrey Alan Epley, CRNA
-
Nicholas Scott Erhard, CRNA
-
Clinton Fletcher, CRNA
-
Christopher Todd Floied, CRNA
-
Candice G Freeman, CRNA
-
Henry Garcia, CRNA
-
Rachel L Graves, CRNA
-
Wendy Hope Greene, CRNA
-
Suzanna B Greenwell, MSN-CRNA
-
Robert A Hamilton, CRNA
-
Jay Brantley Hathcock, FNP, CRNA
-
April M Hays, CRNA
-
David A Heffington, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110307000153 | TN | Part B Supplier - Clinic/Group Practice | 6608058086 |
Receives reassigned benefits from 75 practitioners Practice locations: McMinnville, TN; Paris, TN; Milan, TN; Dyersburg, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | TN | Yes |
Addresses
Primary practice location
1559 Sparta St
McMinnville, TN 37110-1316
Mailing address
PO Box 610251
Dallas, TX 75261-0251
Phone (239) 610-0775
Other providers in McMinnville, TN
- Lonny Nelson
- Isabel Newby
- Andrea Leann Nokes
- Bethany C North
- Leland J. Northcutt
- Cynthia Florence Nunn
- Casey Elizabeth Oneal
- Sasha Orange
- Paul Ortiz
- Francisca Otoja
All providers in McMinnville, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.