Tammy Ann Bishop, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Madisonville, KY
NPI 1083620801 · NPPES record last updated Aug 23, 2007
Key facts
- NPI
- 1083620801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4796A (KY)
- Practice address
- 200 Clinic Dr
Madisonville, KY 42431-1661 - Phone
- (270) 825-7346
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Ozark Anesthesia and Associates, Inc
Practice addresses (Care Compare)
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000
Hospital & facility affiliations
- Lake Regional Health System
- Baptist Health - Fort Smith
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050502000979 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779531207 | Reassigns benefits to 5 organizations |
| I20220623000794 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779531207 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4796A | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Anesthesiology Associates P.a. | Current |
Accepting new patients | |
| Physicians Surgery Center LLC | Current |
Accepting new patients | |
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lake Ozark Anesthesia & Associates, Inc | Current |
Accepting new patients | |
| Ans Services of Arkansas PA | Current |
Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Western Arkansas Obstetric Anesthesia LLC | Current |
Accepting new patients | |
| Jonesboro Anesthesia Inc | Current |
Accepting new patients | |
| Physicians Surgery Center LLC | Current |
Accepting new patients | |
| Lake of the Ozarks Pain Management Services, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Shaw Anesthesia Services, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Professional Anesthesia Associates | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3327 S Division St
Blytheville, AR 72315
Phone (870) 762-1590
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4796A | KY | Yes |
Addresses
Primary practice location
200 Clinic Dr
Madisonville, KY 42431-1661
Mailing address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | Other | KY | 4796A |
Other providers in Madisonville, KY
- Behavioral Resources, Inc.
- Duska Suede Dixie Bethel
- Bradley James Bilbro
- Taylor Binyon
- Bio-Medical Applications of Kentucky, Inc.
- Victoria Lee Bivins
- Carrie June Black
- Ashley Blackburn
- Michele Deann Blair
- Brandi Nicole Bloodworth
All providers in Madisonville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.