Justin David Smallridge is a Bridgeport, West Virginia based nurse anesthetist with 20 years of experience as Anesthesia Administration. He completed he graduation in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Justin David Smallridge is 58541 for Anesthesia Administration in West Virginia. his current practice location is 327 Medical Park Dr, Bridgeport. Patients can reach him at 681-342-1000. Justin David Smallridge is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1417904848. Justin David Smallridge is a certified 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.
Complete Profile:
Justin David Smallridge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
327 Medical Park Dr, Bridgeport, West Virginia, 26330-9006
Phone:
681-342-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2769491422
Enrollment ID:
I20060407000638
NPI Number:
1417904848
NPI Enumeration Date:
30 May, 2006
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin David Smallridge are as mentioned below.
License Number
Specialization
State
Status
58541
Anesthesia Administration
West Virginia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Stonewall Jackson Memorial Hospital (510038)
Weston, WV
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Justin David Smallridge has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northstar Anesthesia Of West Virginia Pllc (2668750241)
117
Other Medical Identifiers:
Other legacy medical identifiers associated with Justin David Smallridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0207026000
Other
West Virginia
MEDICAID GROUP
3810005046
Medicaid
West Virginia
P00974070
Other
West Virginia
MEDICARE RAILROAD
9333201
Other
West Virginia
MEDICARE GROUP
1417904848
Other
West Virginia
MT STATE BLUE CROSS & BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
327 Medical Park Dr, Bridgeport, West Virginia
Zip:
26330-9006
Phone Number:
681-342-1000
Fax Number:
--
Patients can reach Justin David Smallridge at 327 Medical Park Dr, Bridgeport, West Virginia or can call to book an appointment on 681-342-1000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.