Organization Active NPI

Krauth Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Storm Lake, IA
National Provider Identifier
1023481165
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
KRAUTH ANESTHESIA SERVICES LLC
Practice address
1 Colonial Circle
Storm Lake, IA 50588
Phone
(712) 730-0127
NPI assigned
Nov 12, 2015
Organization subpart
Yes
Parent organization
KRAUTH ANESTHESIA SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mr. Douglas Duane Krauth, CRNA
Title
Owner
Phone
(712) 730-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1 Colonial Circle
Storm Lake, IA 50588

Mailing address

1 Colonial Circle
Storm Lake, IA 50588
Phone (712) 730-0127

Other identifiers 2

IdentifierTypeStateIssuer
38543OtherIABC/BS
2265736MedicaidIA

National Provider Directory

National Provider Directory
Part of
Krauth Anesthesia Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1023481165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLONIAL CIRCLE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "50588",
            "telephone_number": "712-730-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONIAL CIRCLE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "50588",
            "telephone_number": "712-730-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAUTH ANESTHESIA SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRAUTH ANESTHESIA SERVICES, LLC",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "KRAUTH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-730-0127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "38543",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265736",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.