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Justin David Smallridge, CRNA
Certified Registered Nurse Anesthetist in Bridgeport, West Virginia
NPI 1417904848

Justin David Smallridge is a Certified Registered Nurse Anesthetist based in Bridgeport, WV. Justin David Smallridge practices in Bridgeport, WV and has the professional credentials of CRNA. The NPI Number for Justin David Smallridge is 1417904848 and holds a License No. 58541 (West Virginia).

The current practice location address for Justin David Smallridge is 327 Medical Park Dr, Bridgeport, WV and can be reached out via phone at 681-342-1000.

Location: 327 Medical Park Dr, Bridgeport, WV, 26330-9006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417904848
Provider Name
Justin David Smallridge
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
327 Medical Park Dr, Bridgeport, WV, 26330-9006
Phone Number
681-342-1000
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0207026000 01 WV MEDICAID GROUP
3810005046 05 WV
P00974070 01 WV MEDICARE RAILROAD
9333201 01 WV MEDICARE GROUP
1417904848 01 WV MT STATE BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
327 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9006
Phone Number
681-342-1000
Fax Number
person
Provider Business Mailing Address Details
Address
327 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9006
Phone Number
681-342-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
58541 (West Virginia)
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.
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Certified Registered Nurse Anesthetist
327 Medical Park Dr,
BRIDGEPORT, WV
26330-9006
681-342-1000
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