Active NPI
East Mississippi Anesthesia
- Certified Registered Nurse Anesthetist
- Meridian, MS
National Provider Identifier
1205894763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- EAST MISSISSIPPI ANESTHESIA
- Practice address
- 1102 Constitution Ave
Meridian, MS 39301-4001 - Phone
- (601) 484-3480
- NPI assigned
- May 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward W Barker, CRNA
- Title
- President
- Phone
- (601) 484-3480
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
1102 Constitution Ave
Meridian, MS 39301-4001
Mailing address
PO Box 2429
Murrells Inlet, SC 29576-2429
Phone (843) 651-2624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01380019 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Certified Registered Nurse Anesthetist
- Meridian, MS
- NPI 1194775924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205894763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295762429",
"telephone_number": "843-651-2624",
"fax_number": "843-357-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 CONSTITUTION AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014001",
"telephone_number": "601-484-3480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST MISSISSIPPI ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-484-3480",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01380019",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
- Harry Durgin, MD
- Kristi Warren Durgin, MD
- Eva Nicole Dye
- Bonnie E. Earley, ACNP
- East Central Mississippi Health Network Incorporated (Ec-Healthnet Family Health Center)
- East Mississippi Endoscopy Center LLC
- East Mississippi Medical Clinic, PLLC
- East Mississippi Oral & Facial Surgery, LLC
- East Mississippi Oral & Facial Surgery, LLC
- East Mississippi State Hospital
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.