Jeffrey Fred Davang, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

642422 Issued in TX

Practice address

1501 E Mockingbird LN
101
Victoria, TX 77904-2155

Phone

(361) 573-2481

Fax

(361) 576-2434

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Cowboy Anesthesia Services PLLCGroup PAC ID 4385868512, 6 clinicians

John Kimball Anesthesia LLCGroup PAC ID 4587010855, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Victoria, TX, CCN 450023

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.

• John Kimball Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Bay City, TX
  • NPI 1699552315

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  Medicare reassignment Care Compare group NPD
• Cowboy Anesthesia Services PLLC

  • Anesthesiology Physician
  • Lake Bluff, IL
  • NPI 1225459878

  TX

  Medicare reassignment Care Compare group NPD
• Citizen's Medical Center County of Victoria

  dba Citizens Medical Professional

  • Multi-Specialty Clinic/Center
  • Victoria, TX
  • NPI 1205242088

  Anesthesiology

  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment
• Ajay Aggarwal

  • Physical Medicine & Rehabilitation Physician
  • Lake Jackson, TX
  • NPI 1730628116

  Anesthesiology

  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Katy West Houston Anesthesia PA

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1700875069
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1003806464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 COUNTY ROAD 131",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774888535",
            "telephone_number": "713-252-5200",
            "fax_number": "979-563-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN",
            "address_2": "101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042155",
            "telephone_number": "361-573-2481",
            "fax_number": "361-576-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANG",
        "first_name": "JEFFREY",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "642422",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "642422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "83842U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECERTIFICATION",
            "identifier": "052983",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151044802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00090293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel & Max, LLC (Stanton Optical)
• Amy Daniel
• Charles Paul Daniel, M.D.
• Jenna Denise Darilek, PA-C
• Richard Alan Darrah, MD
• David and Delores White (Popcorn Plus)
• David R Rivera DDS PLLC
• Susan Elizabeth Davidson
• Steven Davila
• Brian Jay Davis, C.O.T.A.

• Certified Registered Nurse Anesthetist in Victoria, TX
• Providers in Victoria, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.