Mr Nicholas Grant Smith, CRNA | |
2401 S 31st St, Temple, TX 76504-7115 | |
(254) 724-2111 | |
Not Available |
Full Name | Mr Nicholas Grant Smith |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 2401 S 31st St, Temple, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003188699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 120081 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 814527 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversified Professionals, Inc. | 0446356463 | 59 |
Entity Name | Anesthesiology Group Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
Entity Name | Diversified Professionals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Grant Smith, CRNA 2803 Ira Young Dr, Apt 3111, Temple, TX 76504-6323 Ph: (225) 202-3797 | Mr Nicholas Grant Smith, CRNA 2401 S 31st St, Temple, TX 76504-7115 Ph: (254) 724-2111 |
John Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Justin Robert Anders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Joshua Joseph Philippon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Clarence E. Grunden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1905 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-298-2682 Fax: 254-778-7197 | |
Maelen Bernasor, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Violeta Maier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |