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JEFFREY STORMER CRNA NPI 1639154685


NPI Information

NPI: 1639154685
Provider Name: JEFFREY STORMER, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
20 MEDICAL VILLAGE DR
STE 258
EDGEWOOD, KY
ZIP 41017
Phone: (859) 341-2666
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Jeffrey Stormer, CRNA is a nurse anesthetist certified registered in Edgewood, KY. The provider is (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. Jeffrey Stormer, CRNA NPI is 1639154685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 MEDICAL VILLAGE DR
STE 258
EDGEWOOD, KY
ZIP 41017-401
Phone: (859) 341-2666
Fax: (859) 341-7867

The enumeration date for this NPI number is 12/13/2005 and was last updated on 9/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse1028649KENTUCKYNo
2163W00000XRegistered Nurse154045OHIONo
3367500000XNurse Anesthetist, Certified RegisteredNA00804OHIONo
4367500000XNurse Anesthetist, Certified Registered023081KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19130423OTHERPHCS
274001116MEDICAIDKENTUCKY
3K141340MEDICARE PINKENTUCKY
4000000537064OTHERANTHEM
52076159MEDICAIDOHIO
6P00422567MEDICARE PIN
7200877890MEDICAIDINDIANA
80918130MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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