NPI age
16 years
Enumerated 2010-01-18
● Active Type 2 · Organization
Good Shepherd Medical Center
Good Shepherd Medical Center is 1 of 6676 nurse anesthetist, certified registered organizations in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Banos
Ceo
Last NPPES update
2010-01-19
Source: monthly bulk 2026-05
How this organization compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
16 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
718 Hollybrook Dr
Longview, TX 756052469
Mailing address
718 Hollybrook Dr
Longview, TX 756052469
Authorized official
Edward Banos
Ceo
📞 9033152000
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.