Individual provider Active NPI

John W Woodell, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1023377009
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C02896 Issued in AR
Practice address
4200 N Rodney Parham Rd
No 203
Little Rock, AR 72212-2461
Phone
(615) 620-2320
Fax
(615) 620-2323
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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 C02896 AR Primary

Addresses

Primary practice location

4200 N Rodney Parham Rd
No 203
Little Rock, AR 72212-2461

Mailing address

PO Box 291264
Nashville, TN 37229-1264
Phone (615) 620-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120626000658 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678738549 Reassigns benefits to 2 organizations
Practice locations: Texarkana, AR
I20140730001478 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678738549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Health Ark-la-TexGroup PAC ID 2264325588, 39 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Ark-la-Tex Current Accepting new patients
Gastro Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2012 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Nov 18, 2023 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Nov 18, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2014 Accepting new patients
McGowan Court Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 9, 2015 Accepting new patients
NLR Gi Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Jun 22, 2021 Accepting new patients

Locations

151 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 623-4101

405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445

4200 N Rodney Parham Rd
Ste 203
Little Rock, AR 72212
Phone (501) 228-4445

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1023377009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291264",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291264",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD",
            "address_2": "NO 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122461",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODELL",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.