Edward Lynn Sommerhauser, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0031193 Issued in OK

Practice address

200 2ND Ave SW
Miami, OK 74354-6830

Phone

(918) 542-6611

Fax

(918) 787-3864

NPI assigned

Mar 14, 2006

Last updated

Nov 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Grove General Hospital

  dba Integris Grove General Hospital Anesthesia Department

  • Anesthesiology Physician
  • Grove, OK
  • NPI 1467692145
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Joplin Ambulatory Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1417281601

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1225007164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546830",
            "telephone_number": "918-542-6611",
            "fax_number": "918-787-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546830",
            "telephone_number": "918-542-6611",
            "fax_number": "918-787-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERHAUSER",
        "first_name": "EDWARD",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0031193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100787930A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699440E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Smith
• Johnny R Smith, RN
• Rachael Cecelia Smith, FNP-C
• William K Smith, MD
• Jequita Dawn Snyder, D.O.
• Tamara Danette Soria, MSW
• Christina Leigh Spriggs-Graham
• Scott Stacy, BS
• Derek Stapleton
• Brian Louis Starchman

• Certified Registered Nurse Anesthetist in Miami, OK
• Providers in Miami, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.