Active NPI
Joseph W Amo, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000655
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701 - Phone
- (605) 719-1000
- NPI assigned
- Apr 13, 2007
- Last updated
- Jan 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CR000655 | SD | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R030453 | SD |
Addresses
Primary practice location
353 Fairmont Blvd
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, NE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700
621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R030453 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| North Platte Surgery Center LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| Rushmore Ambulatory Surgery Center | Past | Accepting new patients | |
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients |
Locations
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
Interoperability endpoints
- jamo342587@direct.nebraskamed.com
Organizations & group practices 10
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.
-
- Special Hospital
- Rapid City, SD
- NPI 1376896621
-
- Anesthesiology Physician
- North Platte, NE
- NPI 1780869222
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
dba Black Hills Surgical Hospital
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1336009646
-
dba Black Hills Urgent Care
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1124385554
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1972630275
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1154316339
-
dba West River Ear, Nose, and Throat
- Surgery Physician
- Rapid City, SD
- NPI 1417304924
-
dba Black Hills Pediatric Dentistry Surgery Center
- Ambulatory Surgical Clinic/Center
- Rapid City, SD
- NPI 1013968718
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Rapid City, SD
- NPI 1679535132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1053536359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"address_2": "ATTEN MEDICAL STAFF SERVICES",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-719-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMO",
"first_name": "JOSEPH",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CR000655",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R030453",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.