Individual provider Active NPI

Chaz White, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1073821641
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R84680 Issued in OK
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(918) 579-8344
Fax
(918) 579-1556
NPI assigned
Sep 16, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 R84680 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

7805 S Harvard Ave
Tulsa, OK 74136-8061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000628 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052592094 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2222 W Iowa Ave
Carefirst Wellness Assoc
Chickasha, OK 73018-2738
Phone (405) 224-8111

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R84680OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists Inc CurrentSince Apr 1, 2023 Accepting new patients
Duncan Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Digestive Disease Specialists Inc CurrentSince Apr 1, 2023 Accepting new patients
Grady Memorial Hospital CurrentSince Oct 16, 2023 Accepting new patients
Grady Memorial Hospital CurrentSince Oct 16, 2023 Accepting new patients
Oklahoma Anesthesia Specialists PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Mar 2, 2024 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Feb 10, 2024 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Feb 10, 2024 Accepting new patients
Chaz White Anesthesia Services PC Nurse Anesthetist, Certified Registered PastSince May 10, 2012 Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

10029 N Oklahoma Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 702-1300

25 N Rockwell Ave
Oklahoma City, OK 73127
Phone (405) 365-4456

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1334
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10062222
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJECBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1073821641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-8344",
            "fax_number": "918-579-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHAZ",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R84680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.