Individual provider Active NPI

Ted W Holmes, CRNA

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
National Provider Identifier
1003880451
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1062507 Issued in AL
Practice address
3719 Dauphin St
Springhill Medical Center Anesthesia Dept
Mobile, AL 36608-1753
Phone
(251) 342-3000
Fax
(251) 342-3043
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1062507 AL Primary

Addresses

Primary practice location

3719 Dauphin St
Springhill Medical Center Anesthesia Dept
Mobile, AL 36608-1753

Mailing address

PO Box 851417
Mobile, AL 36685-1417
Phone (251) 342-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000634 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668424979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLC 1,037 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Christus Spohn Hospital Corpus Christi SH
Corpus Christi, TX 78404-2235
Phone (361) 881-3657

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1062507ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7909 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 437-0884

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1003880451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851417",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366851417",
            "telephone_number": "251-342-3000",
            "fax_number": "251-342-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "SPRINGHILL MEDICAL CENTER ANESTHESIA DEPT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-342-3000",
            "fax_number": "251-342-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TED",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1062507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.