Russell Earl Chandler, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · El Reno, OK
NPI 1144697491 · NPPES record last updated Nov 21, 2015
Key facts
- NPI
- 1144697491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 71120 (OK)
- Practice address
- 2629 Kadlan Dr
El Reno, OK 73036-9405 - Phone
- (405) 664-2836
- NPI assigned
- Aug 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nga Anesthesia PLLC
Practice addresses (Care Compare)
1515 N Porter Ave
Norman, OK 73071-6649
Phone (405) 366-8619
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004000845 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3274987649 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71120 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nga Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
1515 N Porter Ave
Norman, OK 73071
Phone (405) 366-8619
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 71120 | OK | Yes |
Addresses
Primary practice location
2629 Kadlan Dr
El Reno, OK 73036-9405
Mailing address
2629 Kadlan Dr
El Reno, OK 73036-9405
Phone (405) 664-2836
Other providers in El Reno, OK
- Elizabeth Catagas
- Alisha Cerda
- Forrest Joshua Champion
- Christy Chandler
- Eric Sean Chandler
- Cierra Chapa
- Brenda Kay Chapman
- Darien Chebahtah
- George Chiarchiaro
- Adelaide Renee Christensen
All providers in El Reno, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.