NPIMap

Individual provider Active NPI

Alexander Samuel Whidden, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, OR
National Provider Identifier
1144302639
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
09006652CRNA Issued in OR
Practice address
1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
Oct 20, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 09006652CRNA OR Primary

Addresses

Primary practice location

1046 6TH Ave SW
Albany, OR 97321-1916

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

94220 4th St
Gold Beach, OR 97444-7772
Phone (541) 247-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awhidden268038@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000630 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496715575 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
09006652CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 28, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Bay Area Hospital District CurrentSince Aug 1, 2008 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2008 Accepting new patients
Pacific Surgery Center LLC CurrentSince Mar 4, 2026 Accepting new patients
Albany General Hospital CurrentSince Aug 28, 2023 Accepting new patients
North Bend Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Aug 15, 2022 Accepting new patients
Emerald Valley Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Aug 28, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 28, 2023 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Aug 28, 2023 Accepting new patients
Albany General Hospital CurrentSince Aug 28, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients
Hocking Valley Medical Group, Inc. Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

400 10th St E
Waconia, MN 55387

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

2699 N 17th St
Coos Bay, OR 97420
Phone (541) 266-3600

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168

360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

700 Bellevue St SE
Ste 200
Salem, OR 97301
Phone (971) 345-4348

1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882

2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1144302639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94220 4th St",
            "address_purpose": "LOCATION",
            "city": "Gold Beach",
            "state": "OR",
            "postal_code": "974447772",
            "country_code": "US",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIDDEN",
        "first_name": "ALEXANDER",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "09006652CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awhidden268038@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.