Mr Terry Alvin Sumpter, CRNA | |
1600 North Main, Lovington, NM 88260-2813 | |
(575) 396-6611 | |
(575) 396-0318 |
Full Name | Mr Terry Alvin Sumpter |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1600 North Main, Lovington, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952345399 | NPI | - | NPPES |
5Y838 | Other | AR | BLUE CROSS AR PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00514 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA00964 (New Mexico) | Primary |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040423000330 |
Entity Name | Acuity Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134353030 PECOS PAC ID: 6305992652 Enrollment ID: O20090929000038 |
Entity Name | Aim Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245685601 PECOS PAC ID: 3971896705 Enrollment ID: O20160801001265 |
Mailing Address | Practice Location Address |
---|---|
Mr Terry Alvin Sumpter, CRNA 1600 North Main, Lovington, NM 88260-2813 Ph: (575) 396-6611 | Mr Terry Alvin Sumpter, CRNA 1600 North Main, Lovington, NM 88260-2813 Ph: (575) 396-6611 |
Shannon Michelle Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Donnie A. Croley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Sandra J Jacobs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
James H Mcnair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-9059 Fax: 575-396-1454 | |
Miguel A Montero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Anibal Marquez-chavez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 |