Active NPI
Conda Bates, CRNA
- Certified Registered Nurse Anesthetist
- Logan, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 30465
- Practice address
- 20 Hospital Drive
Logan, WV 25601 - Phone
- (304) 831-1138
- Fax
- (304) 831-1267
- NPI assigned
- Apr 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 30465 | WV | Primary |
Addresses
Primary practice location
20 Hospital Drive
Logan, WV 25601
Mailing address
20 Hospital Drive
Logan, WV 25601
Phone (304) 831-1138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 Clint Moore Rd
Suite 300
Boca Raton, FL 33496-2661
Phone (561) 544-5501
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36346 | KY | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| 30465 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ambulatory Surgery Center Support Services | Current | Accepting new patients | |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Center for Pain Relief, Inc. | Past | Accepting new patients | |
| Sheridan Healthcare of West Virginia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 300
Boca Raton, FL 33496
Phone (561) 544-5501
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
719 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-2020
95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800
220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 9
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.
-
dba JLR Anesthesia Assoc
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- Maitland, FL
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Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1902857642
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1831116375
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
-
- Anesthesiology Physician
- Logan, WV
- NPI 1861567851
Nurse Anesthetist, Certified Registered
-
dba Hazard ARH Regional Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Nurse Anesthetist, Certified Registered
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174580195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOSPITAL DRIVE",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-831-1138",
"fax_number": "304-831-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DRIVE",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-831-1138",
"fax_number": "304-831-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "CONDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "30465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.