Active NPI
Adam Shane David, CRNA
- Certified Registered Nurse Anesthetist
- Murray, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3006454
- Practice address
- 632 N 12TH St # 230
Murray, KY 42071-1651 - Phone
- (859) 948-8389
- NPI assigned
- Apr 30, 2010
- Last updated
- Dec 17, 2013
- 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 | 3006454 | KY | Primary |
Addresses
Primary practice location
632 N 12TH St # 230
Murray, KY 42071-1651
Mailing address
632 N 12TH St # 230
Murray, KY 42071-1651
Phone (859) 948-8389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006454 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray Anesthetists Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apex Anesthesia Partners, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Murray Anesthesia Group, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Marshall County Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
632 N 12th St
Murray, KY 42071
Phone (270) 210-8873
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Paducah, KY
- NPI 1902373772
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Murray, KY
- NPI 1164701447
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Benton, KY
- NPI 1952530230
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Murray, KY
- NPI 1871533398
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1083931034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 N 12TH ST # 230",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711651",
"telephone_number": "859-948-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 N 12TH ST # 230",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711651",
"telephone_number": "859-948-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "ADAM",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-30",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3006454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.