Active NPI
Ted W Holmes, CRNA
- Certified Registered Nurse Anesthetist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1062507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062507 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
Hospital
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.