Jordan Daughenbaugh

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP08289 Issued in LA

Practice address

1900 W Gauthier Rd
Lake Charles, LA 70605-7170

Phone

(337) 480-7000

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment NPD
• Osc Anesthesia, LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1063862340
  Medicare reassignment NPD

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1083097034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W GAUTHIER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057170",
            "telephone_number": "337-480-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W GAUTHIER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057170",
            "telephone_number": "337-480-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHENBAUGH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren W. Chaumont, DDS, LLC (Lake Charles Family Dental Care)
• Barbara Raney Dartez
• Denny James Dartez, M.D.
• Robin Claire Daugereau, M.A., LPC
• David Daughenbaugh, DDS
• Mark Daughenbaugh, DDS
• Joel Daugherty, M.A., LPC-S
• Lea Anne Dauphine, L.P.C
• Fidencio Hernan Davalos, M.D.
• David Ashley MD DMD Oral Surgery Group, PC (Oral Surgery and Wisdom Teeth of Louisiana)

• Certified Registered Nurse Anesthetist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.