Active NPI
Robert Foreman, CRNA
- Certified Registered Nurse Anesthetist
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP114487
- Practice address
- 755 N 11TH St Ste P3600
Beaumont, TX 77702-1515 - Phone
- (409) 838-5214
- Fax
- (409) 838-1946
- NPI assigned
- Dec 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN97773 AP04613 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP114487 | TX | Primary |
Addresses
Primary practice location
755 N 11TH St Ste P3600
Beaumont, TX 77702-1515
Mailing address
PO Box 5587
Beaumont, TX 77726-5587
Phone (409) 838-5214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN97773 AP04613 | Other | LA | ADVANCED PRACTICE LIC |
| AP114487 | Other | TX | APN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050413000039 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729037304 | Reassigns benefits to 3 organizations |
| I20190816000513 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729037304 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LCMS Cardiovascular Diseases, LLCEmergenchealth PLLC
Practice addresses (Care Compare)
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 236-7395
3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002
Hospital & facility affiliations
- Lake Charles Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN97773 AP04613 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Charles Anesthesiology, Apmc | Current | Accepting new patients | |
| Anesthesia Associates | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4150 Nelson Rd
Ste A4
Lake Charles, LA 70605
Phone (318) 474-6353
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 6
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
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
LA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Beaumont, TX
- NPI 1215922851
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1104986199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5587",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777265587",
"telephone_number": "409-838-5214",
"fax_number": "409-838-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N 11TH ST STE P3600",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021515",
"telephone_number": "409-838-5214",
"fax_number": "409-838-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN97773 AP04613",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP114487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE LIC",
"identifier": "RN97773 AP04613",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN",
"identifier": "AP114487",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.