Organization Active NPI

Rawls Anesthesia Service, Inc

  • Certified Registered Nurse Anesthetist
  • Edmond, OK
National Provider Identifier
1184751380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0068167 Issued in OK
Legal business name
RAWLS ANESTHESIA SERVICE, INC
Practice address
3324 French Park Dr
Ste. D
Edmond, OK 73034-7269
Phone
(405) 715-3610
Fax
(405) 715-3612
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert L Rawls, CRNANPI 1033148440
Title
Owner
Phone
(405) 715-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0068167 OK Primary

Addresses

Primary practice location

3324 French Park Dr
Ste. D
Edmond, OK 73034-7269

Mailing address

3324 French Park Dr
Ste. D
Edmond, OK 73034-7269
Phone (405) 715-3610

Other identifiers 1

IdentifierTypeStateIssuer
464171909001OtherOKBCBS OF OKLAHOMA

National Provider Directory

National Provider Directory

Locations

3324 French Park Dr
Ste D
Edmond, OK 73034
Phone (405) 715-3610

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184751380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 FRENCH PARK DR",
            "address_2": "STE. D",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347269",
            "telephone_number": "405-715-3610",
            "fax_number": "405-715-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 FRENCH PARK DR",
            "address_2": "STE. D",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347269",
            "telephone_number": "405-715-3610",
            "fax_number": "405-715-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWLS ANESTHESIA SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-715-3610",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0068167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "464171909001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.