Active NPI
Luke R Beuterbaugh, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2004017727
- Practice address
- 1000 E Primrose St Ste 520
Springfield, MO 65807-5180 - Phone
- (417) 269-4550
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2004017727 | MO | Primary |
Addresses
Primary practice location
1000 E Primrose St Ste 520
Springfield, MO 65807-5180
Mailing address
1000 E Primrose St Ste 520
Springfield, MO 65807-5180
Phone (417) 269-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (479) 215-3000
700 W Grove St
Medical Center of South Arkansas
El Dorado, AR 71730-4416
Phone (870) 863-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Anesthesia Solutions of Arkansas, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Taylor Surgery Center, LLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
3733 N Business Dr
Ste 101
Fayetteville, AR 72703
Phone (479) 443-5476
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
Organizations & group practices 3
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.
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
dba Surgical Arts Surgery Center
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1740738897
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1174125876
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Siloam Springs Regional Hospital
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114065349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST STE 520",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075180",
"telephone_number": "417-269-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST STE 520",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075180",
"telephone_number": "417-269-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUTERBAUGH",
"first_name": "LUKE",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2004017727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- 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.
- 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.