Individual provider Active NPI

Gary Stephen Crowe, CRNA

  • Certified Registered Nurse Anesthetist
  • Mission, TX
National Provider Identifier
1174547863
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
578939 Issued in TX
Practice address
900 S Bryan Rd
Mission, TX 78572-6613
Phone
(956) 323-1808
Fax
(956) 323-1817
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 578939 TX Primary

Addresses

Primary practice location

900 S Bryan Rd
Mission, TX 78572-6613

Mailing address

900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 323-1808

Other identifiers 1

IdentifierTypeStateIssuer
040650OtherTXCOUNCIL RECERTIFICATION #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712000639 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991097933 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
578939TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Acema Group, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Clinical Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered PastSince Oct 16, 2022 Accepting new patients

Locations

2302 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 571-3435

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174547863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726613",
            "telephone_number": "956-323-1808",
            "fax_number": "956-323-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726613",
            "telephone_number": "956-323-1808",
            "fax_number": "956-323-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "GARY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "578939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL RECERTIFICATION #",
            "identifier": "040650",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.