NPIMap

Individual provider Active NPI

Jo Carroll Barham, CRNA

  • Certified Registered Nurse Anesthetist
  • Pasadena, TX
National Provider Identifier
1083717458
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
429306 Issued in TX
Practice address
5010 Crenshaw Rd
Suite #130
Pasadena, TX 77505-3097
Phone
(281) 991-2200
Fax
(281) 991-7700
NPI assigned
Sep 7, 2006
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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 429306 TX Primary

Addresses

Primary practice location

5010 Crenshaw Rd
Suite #130
Pasadena, TX 77505-3097

Mailing address

PO Box 650802
Dallas, TX 75265-0802
Phone (972) 715-5000

Other identifiers 3

IdentifierTypeStateIssuer
8717UAOtherTXBCBS
139992531MedicaidTX
0046CCOtherTXMEDICARE RPK GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
22787TXMDPharmacist
429306TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Anesthesia Associates, LLP Past Accepting new patients
Brazoria County Anesthesia P.a. Past Accepting new patients
Manjit S Randhawa DO PA PastSince Jan 1, 2004 Accepting new patients
RPK Anesthesia PA. Past Accepting new patients
Mainland Anesthesia Associates, P.a. Past Accepting new patients
RPK Anesthesia PA Past Accepting new patients
Pasadena Pain Management Consultants, PA. Past Accepting new patients
Fredericksburg Anesthesia Consultants, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1083717458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650802",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650802",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CRENSHAW RD",
            "address_2": "SUITE #130",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053097",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "JO",
        "middle_name": "CARROLL",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "429306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8717UA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139992531",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RPK GROUP #",
            "identifier": "0046CC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.