Charles B Whitby Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA1361 Issued in AZ

Practice address

5700 E Highway 90
Sierra Vista, AZ 85635-9110

Phone

(520) 226-4338

Fax

(520) 335-8705

NPI assigned

Nov 23, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Medicare reassignment Care Compare group NPD
• Guide Anesthesia Az LLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1649164849

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Partners & Management LLC

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1336530997

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Bisbee Hospital Association

  • Rural Health Clinic/Center
  • Hereford, AZ
  • NPI 1245986975
  NPD
• Bisbee Hospital Association

  • Point of Service
  • Bisbee, AZ
  • NPI 1508137209
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1003359092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998",
            "telephone_number": "520-226-4338",
            "fax_number": "520-335-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856359110",
            "telephone_number": "520-226-4338",
            "fax_number": "520-335-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBY",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wendl, RN
• Christopher William Weyer, D.O.
• Richard Helge Weyer, M.D.
• Donna M Whelan, R.D.
• Kenneth John Whipple, DO
• Andrea Bernadette White, REGISTERED NURSE
• Fredric J White, DDS
• Jamie Rae White, D.M.D., M.S., DHSC
• Kyle White, FNP-C
• Larry L White, PT

• Certified Registered Nurse Anesthetist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.