Joe a Wright Monticello Anesthesia Service

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R32806 Issued in AZ

Legal business name

JOE A WRIGHT MONTICELLO ANESTHESIA SERVICE

Practice address

778 Scogin Drive
Monticello, AR 71655-5729

Phone

(870) 367-2411

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Joe Wright, CRNA

Title

Owner

Phone

(870) 460-3552

Specialties & licenses 2

Addresses

Other identifiers 6

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1063486652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE A WRIGHT MONTICELLO ANESTHESIA SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-460-3552",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "R32806",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-AR",
            "identifier": "59537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE OF AR",
            "identifier": "5B818",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129353702",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS BREASTCARE PROGRAM",
            "identifier": "770221502",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AR",
            "identifier": "5B818",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115534701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Camisha D Johnson
• Jennifer Ann Johnson
• Kaitlyn Johnson
• Kassandra Jones
• Lynda Allison Jones, PTA

• Certified Registered Nurse Anesthetist in Monticello, AR
• Providers in Monticello, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.