Active NPI
Edgar Milam, CRNA
- Certified Registered Nurse Anesthetist
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 65047
- Practice address
- 1901 SW H K Dodgen Loop
Temple, TX 76502-1814 - Phone
- (254) 935-4000
- Fax
- (254) 935-4111
- NPI assigned
- Jun 28, 2006
- 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 | 65047 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN65047 | TN |
Addresses
Primary practice location
1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Mailing address
P.O. Box 844658
Dallas, TN 75284-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4134284 | Other | TN | BC |
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, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Loop Rd
Crockett Med Ctr
Crockett, TX 75835-1308
Phone (936) 545-3851
303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 643-6251
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65047 | TX | MD | Clinical Social Worker |
| RN65047 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cowboy Anesthesia Services PLLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Anesthesia Group, PA | Past | Accepting new patients | |
| Ridge Lake Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922
3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498
1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1881810414
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
-
dba Crockett Medical Center
- Critical Access Hospital
- Crockett, TX
- NPI 1114435260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1154359545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 844658",
"city": "DALLAS",
"state": "TN",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SW H K DODGEN LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021814",
"telephone_number": "254-935-4000",
"fax_number": "254-935-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "EDGAR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "65047",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN65047",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "4134284",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.