John A Pru, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

6780.0512 Issued in WY

Practice address

80 Perimeter Drive
Alta, WY 83414

Phone

(307) 421-3396

NPI assigned

Apr 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Doctor of Medicine

State licenses

Practice roles

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.

• Evanston Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Evanston, WY
  • NPI 1891979258

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia Associates of Easton, P C

  • Specialist
  • Easton, PA
  • NPI 1952305930
  NPD (past)
• Anesthesia Associates, PS

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1831143254
  NPD (past)
• Anesthesia Partners, LTD.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1043270465
  NPD (past)
• Augusta University

  • Hospitalist Physician
  • Augusta, GA
  • NPI 1760559124
  NPD (past)
• Brevard Anesthesia Services PA

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1699881664

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Collier Anesthesia PA

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1649251745
  NPD (past)
• Jennifer Sassi PA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1619305067

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Medical Anesthesia and Pain Management Consultants, P.a.

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1619966694
  NPD (past)
• Medical Center Anesthesiology of Athens

  • Anesthesiology Physician
  • Athens, GA
  • NPI 1003863291
  NPD (past)
• Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1881616985
  NPD (past)
• Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
  • NPI 1386667533
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093771503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "ALTA",
            "state": "WY",
            "postal_code": "83414",
            "telephone_number": "307-421-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PERIMETER DRIVE",
            "city": "ALTA",
            "state": "WY",
            "postal_code": "83414",
            "telephone_number": "307-421-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRU",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "6780.0512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL OF RECERT. ON  NA",
            "identifier": "016358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Janes Jr., M.D.
• Sarah Katherine Tipler, MSW

• Certified Registered Nurse Anesthetist in Alta, WY
• Providers in Alta, WY by specialty
• Certified Registered Nurse Anesthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.