Active NPI
CN Anesthesia Inc
- Certified Registered Nurse Anesthetist
- Russellville, AR
National Provider Identifier
1134447246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- CN ANESTHESIA INC
- Practice address
- 151 East Aspen Lane
Russellville, AR 72811 - Phone
- (913) 685-9772
- NPI assigned
- May 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Oberlin Shrum, CRNA
- Title
- Partner
- Phone
- (479) 280-4092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AR | Primary |
Addresses
Primary practice location
151 East Aspen Lane
Russellville, AR 72811
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273708800000",
"number": "1134447246",
"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": "952-442-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 EAST ASPEN LANE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "72811",
"telephone_number": "913-685-9772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CN ANESTHESIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A",
"authorized_official_last_name": "SHRUM",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "OBERLIN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "479-280-4092",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.