Individual provider Active NPI

Douglas Alan Crutchfield, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Eufaula, OK
National Provider Identifier
1003995176
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
29347 Issued in OK
Practice address
RR 5 Box 114
Eufaula, OK 74432-9501
Phone
(918) 339-4122
NPI assigned
Nov 2, 2006
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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 29347 OK Primary

Addresses

Primary practice location

RR 5 Box 114
Eufaula, OK 74432-9501

Mailing address

RR 5 Box 114
Eufaula, OK 74432-9501
Phone (918) 339-4122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000219 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254461775 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Oklahoma PLLC CurrentSince Apr 1, 2016 Accepting new patients
SRD Anesthesia Services LLC Past Accepting new patients
McAlester Ambulatory Surgery Center, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1003995176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 114",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744329501",
            "telephone_number": "918-339-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 114",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744329501",
            "telephone_number": "918-339-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "29347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.