NPIMap

Organization Active NPI

RG Hardaway, Inc.

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1114021300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
RG HARDAWAY, INC.
Practice address
7717 Lockheed Dr Ste E
El Paso, TX 79925-2437
Phone
(915) 577-0111
Fax
(915) 533-2568
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Russell G Hardaway, CRNANPI 1619087962
Title
President
Phone
(915) 577-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

7717 Lockheed Dr Ste E
El Paso, TX 79925-2437

Mailing address

7717 Lockheed Dr Ste E
El Paso, TX 79925-2437
Phone (915) 577-0111

Other identifiers 1

IdentifierTypeStateIssuer
00C65SOtherTXBX PROVIDER NUMBER

Other names 1

  • RIO GRANDE ANESTHESIA Doing business as

National Provider Directory

National Provider Directory

Locations

7717 Lockheed Dr
Ste E
El Paso, TX 79925
Phone (915) 772-3529

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114021300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 LOCKHEED DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252437",
            "telephone_number": "915-577-0111",
            "fax_number": "915-533-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 LOCKHEED DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252437",
            "telephone_number": "915-577-0111",
            "fax_number": "915-533-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RG HARDAWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-577-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX PROVIDER NUMBER",
            "identifier": "00C65S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIO GRANDE ANESTHESIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.