Justin G Gates, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C02886 Issued in AR

Practice address

404 S Bradley St
Warren, AR 71671-3459

Phone

(870) 226-3731

Fax

(952) 442-3620

NPI assigned

Oct 28, 2011

Last updated

Nov 8, 2011By 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

Medicare fee-for-service enrollment

Enrolled in AR, LA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Willow Anesthesia Services LLCGroup PAC ID 9234279183, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gates Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Texarkana, AR
  • NPI 1811782824

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • Emergency Medicine Physician
  • Homer, LA
  • NPI 1609066646

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Willow Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
  • NPI 1205169521

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Arkansas Health Group Anesthesia

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment NPD
• Chicot Memorial Medical Center

  • Certified Registered Nurse Anesthetist
  • Lake Village, AR
  • NPI 1457676942

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Crossett Health Foundation

  dba Ashley County Anesthesia

  • Certified Registered Nurse Anesthetist
  • Crossett, AR
  • NPI 1508821547

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of Arkansas Professional Corporation

  • Anesthesiology Physician
  • Fayetteville, AR
  • NPI 1932519485

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• South Arkansas Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • El Dorado, AR
  • NPI 1568599892

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611
  Medicare reassignment
• Chicot Memorial Medical Center

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1235453192
  Medicare reassignment
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1114203635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-3731",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JUSTIN",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finish Line Therapy LLC
• Marylan L Fisher
• Rivers Hope Frazer
• Anna Marie Funderburg, PTA
• Gannaway Drug Store Inc
• Ladonna Dichelle George, M.D.
• Lilian A Gilbert
• Jan Gorman
• Russell Neal Gregory, MD
• Jessica Griffin

• Certified Registered Nurse Anesthetist in Warren, AR
• Providers in Warren, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.