NPIMap

Individual provider Active NPI

Matthew J Meynard, CRNA

  • Certified Registered Nurse Anesthetist
  • Alexandria, LA
National Provider Identifier
1093765588
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APO4386 Issued in LA
Practice address
1444 Peterman Dr
Alexandria, LA 71301-3432
Phone
(318) 442-5399
Fax
(318) 442-1586
NPI assigned
May 12, 2006
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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 APO4386 LA Primary

Addresses

Primary practice location

1444 Peterman Dr
Alexandria, LA 71301-3432

Mailing address

PO Box 5887
Alexandria, LA 71307-5887
Phone (318) 442-5399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000919 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244216091 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Louisiana Anesthesia Consultants, ApmcGroup PAC ID 3971408733, 53 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians
Willis Knighton Medical Center Inc Crna GroupGroup PAC ID 1759358674, 93 clinicians
Shreveport Sedation Associates, LLCGroup PAC ID 3173886736, 10 clinicians
Natchitoches Anesthesia Associates LLCGroup PAC ID 4981591088, 9 clinicians

Practice addresses (Care Compare)

1444 Peterman Dr
Alexandria, LA 71301-3432
Phone (318) 442-5399

2100 Lake St
Lake Charles, LA 70601-7104
Phone (337) 436-6941

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO4386LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2020 Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2024 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc CurrentSince Dec 28, 2013 Accepting new patients
Novus Louisiana Medical Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince May 10, 2024 Accepting new patients
Lake Charles Anesthesiology, Apmc CurrentSince Dec 3, 2018 Accepting new patients
Medical Center Anesthesiologists CurrentSince Jan 21, 2019 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2019 Accepting new patients
Natchitoches Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2020 Accepting new patients
Med-Trans Corporation Past Accepting new patients
Texas Children's Physician Group Past Accepting new patients
Apex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

211 4th St
#30135
Alexandria, LA 71301
Phone (318) 448-4440

3306 Giamanco St
Alexandria, LA 71301
Phone (318) 442-5399

2100 Lake St
Lake Charles, LA 70601
Phone (337) 436-6941

4150 Nelson Rd
Lake Charles, LA 70605
Phone (337) 474-2056

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

3000 34th St
Metairie, LA 70001
Phone (504) 224-2506

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

3217 Mabel St
Shreveport, LA 71103

Organizations & group practices 12

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1093765588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5887",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713075887",
            "telephone_number": "318-442-5399",
            "fax_number": "318-442-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 PETERMAN DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013432",
            "telephone_number": "318-442-5399",
            "fax_number": "318-442-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYNARD",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "APO4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.