Active NPI
Paul Mitchell James, CRNA
- Certified Registered Nurse Anesthetist
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 084600
- Practice address
- 4100 Summerhill Rd
Texarkana, TX 75503-2732 - Phone
- (903) 735-9802
- Fax
- (903) 735-9806
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 716034 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 084600 | TX | Primary |
Addresses
Primary practice location
4100 Summerhill Rd
Texarkana, TX 75503-2732
Mailing address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone (903) 735-9802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213821601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084600 | TX | MD | Certified Registered Nurse Anesthetist |
| 716034 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Ark-la-Tex | Current | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Texarkana, TX
- NPI 1467453902
-
- Rheumatology Physician
- Texarkana, TX
- NPI 1720541410
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1144531187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032732",
"telephone_number": "903-735-9802",
"fax_number": "903-735-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032732",
"telephone_number": "903-735-9802",
"fax_number": "903-735-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "PAUL",
"middle_name": "MITCHELL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "716034",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "084600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213821601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.