Active NPI
Complete Anesthesia Care, P.C.
- Certified Registered Nurse Anesthetist
- Waxahachie, TX
National Provider Identifier
1144410226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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, 2008
- 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
- Charles D Stevenson, CRNA
- Title
- President
- Phone
- (972) 938-1623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1919623 | Medicaid | TX | |
| C84V | Other | TX | TX BCBS |
National Provider Directory
National Provider DirectoryNPI 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.