Emmanuel Samedi, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R108099 Issued in OK

Practice address

100 S Bliss Ave
Tahlequah, OK 74464-2512

Phone

(918) 458-3115

NPI assigned

Feb 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Uniformed Services Uhs Fe Hebert School of Med, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherokee Nation 446 clinicians

Minimally Invasive Neurosurgery Associates PLLC 2 clinicians

Texas Ams PLLC 143 clinicians

Anesthesia Management Solutions of Oklahoma PLLC 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Alliancehealth Madill Hospital, Madill, OK, CCN 371326

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cherokee Nation

  • Ambulatory Surgical Clinic/Center
  • Tahlequah, OK
  • NPI 1669628707

  TX

  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Anesthesia Management Solutions of Oklahoma PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1003375650

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment Care Compare group NPD
• Minimally Invasive Neurosurgery Associates, PLLC

  • Anesthesiology Physician
  • Sherman, TX
  • NPI 1730058629

  TX

  Medicare reassignment Care Compare group NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Oklahoma PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1770891475

  OK

  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  Care Compare group NPD
• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare group
• Cherokee Nation

  • Land Ambulance
  • Tahlequah, OK
  • NPI 1588667760
  Care Compare group
• Cherokee Nation

  • Land Ambulance
  • Tahlequah, OK
  • NPI 1942947288
  Care Compare group
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Salina, OK
  • NPI 1326054081
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645

  Hospital

  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Durant Hma LLC

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906

  Hospital

  Care Compare affiliation
• Marshall County Hma, LLC

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556

  Hospital

  Care Compare affiliation
• Heritage Park Surgical Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1235510090

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1174862783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEDI",
        "first_name": "EMMANUEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R108099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Rutherford, DNAP
• Krisstyn Elissa Ryals, LPC, CANDIDATE
• Monica L Ryals, BS
• Carol Suzanne Saffell, PHARM. D
• Thomas Salmon, OD
• Erica Danielle Sampson
• Natalie Sams
• Alicia Pearl Sanders, APRN
• Joshua S Satlak, PHARM D
• Cheryl Denese Scaff, APRNC, CNM

• All providers in Tahlequah, OK
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.

Verify at the official NPI Registry.