Brandon Young
Nurse Anesthetist, Certified Registered

Address: 620 Skyline Dr, Jackson, TN 38301-3923
Phone: 7315417070

Brandon Young (NPI# 1962928796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962928796
Entity Type Individual
Full Name Brandon Young
Credential CRNA
Gender Male
Practice Address 620 Skyline Dr
Jackson
TN 38301-3923
Practice Telephone 7315417070
Mailing Address 620 Skyline Drive
Jackson
TN 38301-3923
Mailing Telephone 7315417070
Mailing Fax Number 7315417075
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-08-14
Last Update Date 2017-09-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers RN0000190692 TN
Yes 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers 23152 TN

Providers with the same name

NPI Name Taxonomy Address Enumeration
1720684319 Brandon Young Military Health Care Provider 3401 Farenholt Ave Building 14, San Diego, CA 92134-0001 2020-12-08
1164457057 Brandon Mark Young Specialist 2121 E Williams St, Suite 108, Apex, NC 27539-7764 2006-07-11
1275156333 Brandon Howard Young Speech-Language Pathologist 1333 Moursund, Houston, TX 77030 2020-05-24
1316339054 Brandon D Young Pediatrics 99-128 Aiea Heights Dr, Ste 211, Aiea, HI 96701-3925 2015-03-03
1043636764 Brandon S Young Physical Therapist 119 Office Park Dr, Orangeburg, SC 29118-2407 2014-03-06
1932546504 Brandon Young Internal Medicine 1500 Division St, Oregon City, OR 97045-1527 2013-05-23
1932481363 Brandon Young Pharmacist 4916 France Ave S, Edina, MN 55410-1758 2011-09-12
1609199629 Brandon L Young Nurse Practitioner 845 S Madison St, Tupelo, MS 38801-4905 2010-03-04

Physician Overview

NPI 1962928796
PAC ID by PECOS 7618243718
Professional Enrollment ID I20171017002525
Full Name Brandon E Young
Organization Legal Name MEDICAL CENTER ANESTHESIA INC
Phone Number 7315415000
Gender M
Graduation Year 2017
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 2769629187
Number of Group Practice Members 77
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440002 JACKSON-MADISON COUNTY GENERAL HOSPITAL

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy 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.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295232304 Trumania Inc Nurse Anesthetist, Certified Registered 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 2018-04-06
1902287501 Timothy Parrish Nurse Anesthetist, Certified Registered 27 Red Deer Cv, Jackson, TN 38305-6485 2015-06-09
1821345398 Denicia Maria Rankin Nurse Anesthetist, Certified Registered 88 Boyd Dr, Jackson, TN 38305-2152 2012-08-14
1437425717 Sheela Federici Nurse Anesthetist, Certified Registered 545 Rutledge St, Jackson, MI 49203-1113 2012-03-30
1164611240 Yvette George Nurse Anesthetist, Certified Registered 105 F Stonebrook Pl, Jackson, TN 38305 2007-10-15
1194843110 Patricia Lynn Koprivica Nurse Anesthetist, Certified Registered 5919 Amber, Jackson, MI 49201-8389 2007-03-27
1215055454 Eunai Danek Nurse Anesthetist, Certified Registered 2571 Cascade Creek Dr, Jackson, MI 49203-3771 2007-03-26
1508950064 Mark Combs Nurse Anesthetist, Certified Registered 205 North East Ave, Anesthesia Department, Jackson, MI 49201 2006-10-02
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1932292596 James Gerard Brown Nurse Anesthetist, Certified Registered Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 2006-10-02
Find all providers in JACKSON

Office Location

Street Address 620 SKYLINE DR
City JACKSON
State TN
Zip Code 38301-3923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821094608 Julie A Mcbroom Nurse Anesthetist, Certified Registered 620 Skyline Dr, Jackson, TN 38301-3923 2005-06-25
1043814304 Suzanne Rae Morris Nurse Practitioner 620 Skyline Dr, Jackson, TN 38301-3923 2020-11-27
1205440260 Heather Middleton Registered Nurse 620 Skyline Dr, Jackson, TN 38301-3923 2020-09-06
1780297291 Holly R Jones Nurse Practitioner 620 Skyline Dr, Jackson, TN 38301-3923 2020-08-25
1851909972 Earl Wade Lomax Student in an Organized Health Care Education/Training Program 620 Skyline Dr, Jackson, TN 38301-3923 2020-07-15
1356960835 Gregory Heath Mcneely Registered Nurse 620 Skyline Dr, Jackson, TN 38301-3923 2020-04-14
1174157515 Matthew Lee Luttrell Nurse Practitioner 620 Skyline Dr, Jackson, TN 38301-3923 2020-02-25
1528698594 Heidi Hill Nurse Practitioner 620 Skyline Dr, Jackson, TN 38301-3923 2020-01-18
1407406861 Justin Harrison Nurse Anesthetist, Certified Registered 620 Skyline Dr, Jackson, TN 38301-3923 2019-09-18
1770131856 Shelby Kathryn Berry Nurse Anesthetist, Certified Registered 620 Skyline Dr, Jackson, TN 38301-3923 2019-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634696 Lindsey Crowder Social Worker 127 Mccowat Street, Jackson, TN 38301 2020-09-21
1366928087 Primary Care - South Limited Clinic/Center 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 2018-07-16
1629592522 Tlc Home Care Services, LLC In Home Supportive Care 39 Old Denmark Rd, Jackson, TN 38301 2017-08-01
1841730421 Southern Hands Quality Care In Home Supportive Care 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 2017-03-02
1881044477 Katie Mcmickin Counselor 163 Sunnyside Dr, Jackson, TN 38301 2016-06-15
1164815064 Hailey Archer Dietitian, Registered 720 W. Forest Ave., Jackson, TN 38301 2015-03-17
1740673714 Regina Tignor Nurse Practitioner 1410 Us Highway 70 Byp, Jackson, TN 38301 2015-03-13
1194114033 Woman's Clinic Obstetrics & Gynecology 242 Coatsland, Jackson, TN 38301 2015-01-15
1659797702 Worthy Walker Arrington Nurse Practitioner 720 West Forest Avenue, Jackson, TN 38301 2014-03-13
1669717302 Lift Wellness Inc General Practice 101 Jackson Walk Plaza, Jackson, TN 38301 2012-12-06
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Competitor

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City JACKSON
Zip Code 38301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.