Organization Active NPI

Complete Anesthesia Care, P.C.

  • Certified Registered Nurse Anesthetist
  • Waxahachie, TX
National Provider Identifier
1144410226
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
COMPLETE ANESTHESIA CARE, P.C.
Practice address
106 Lucas St
Waxahachie, TX 75165-2202
Phone
(573) 686-5550
NPI assigned
Jul 26, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Charles D Stevenson, CRNA
Title
President
Phone
(972) 938-1623

Specialties & licenses 1

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

Addresses

Primary practice location

106 Lucas St
Waxahachie, TX 75165-2202

Mailing address

1805 Wood Duck CT
Midlothian, TX 76065-9427
Phone (972) 938-1623

Other identifiers 2

IdentifierTypeStateIssuer
1919623MedicaidTX
C84VOtherTXTX BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1144410226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WOOD DUCK CT",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760659427",
            "telephone_number": "972-938-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LUCAS ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652202",
            "telephone_number": "573-686-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE ANESTHESIA CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-938-1623",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1919623",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS",
            "identifier": "C84V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.