Perry A Rathbun, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

871224 Issued in TX

Practice address

510 E Clinton Ave
Athens, TX 75751-3410

Phone

(903) 677-1000

Fax

(903) 677-1694

NPI assigned

Apr 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Rural Health Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Forrest City, AR
  • NPI 1265039556

  MO

  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Missouri, LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472
  Medicare reassignment NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment
• Southeast Health Center of Stoddard County LLC

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567
  NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD
• Anderson County Anesthesia Associates, PA

  • Anesthesiology Physician
  • Palestine, TX
  • NPI 1699763557
  NPD (past)
• Kennett Hma Physician Management, LLC

  • Internal Medicine Physician
  • Kennett, MO
  • NPI 1245445196
  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  Care Compare affiliation

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1104099209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513410",
            "telephone_number": "903-677-1000",
            "fax_number": "903-677-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513410",
            "telephone_number": "903-677-1000",
            "fax_number": "903-677-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHBUN",
        "first_name": "PERRY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "122180",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "871224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916904261",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celie K Pyle, FNP
• James R Qualls, DO
• Malcolm Randall Quattlebaum
• Dwight Carl Rampley, RPH
• Pradeep Rapalli, PT
• Sarah Grace Ratliff, DO
• Kendra S Ray
• Renal Care Group Texas, Inc.
• Renal Center of Athens, LLLP
• Courtney Michele Reschke

• Certified Registered Nurse Anesthetist in Athens, TX
• Providers in Athens, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.