Active NPI
Danny Coleman Sandefur, CRNA
- Certified Registered Nurse Anesthetist
- Langley AFB, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024171324
- Practice address
- 77 Nealy Ave
Langley AFB, VA 23665-2040 - Phone
- (702) 236-2862
- NPI assigned
- Feb 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024171324 | VA | Primary |
Addresses
Primary practice location
77 Nealy Ave
Langley AFB, VA 23665-2040
Mailing address
6 Quail CV
Poquoson, VA 23662-1742
Phone (702) 236-2862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11803 Jefferson Ave
Newport News, VA 23606-2565
Phone (757) 736-9898
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171324 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Alaska Spine Center, LLC | Past | Accepting new patients | |
| Chugach Anesthesia, LLC | Past | Accepting new patients |
Locations
595 Martha Jefferson Dr
Ste 290
Charlottesville, VA 22911
Phone (434) 293-4995
11803 Jefferson Ave
Newport News, VA 23606
Phone (757) 594-1000
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1093710717
-
- Anesthesiology Physician
- Anchorage, AK
- NPI 1093712358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1083892780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 QUAIL CV",
"city": "POQUOSON",
"state": "VA",
"postal_code": "236621742",
"telephone_number": "702-236-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 NEALY AVE",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "702-236-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDEFUR",
"first_name": "DANNY",
"middle_name": "COLEMAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langley AFB, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.