Individual provider Active NPI

Andrew McKinley Sledge, CRNA

  • Certified Registered Nurse Anesthetist
  • Jenks, OK
National Provider Identifier
1245593441
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89173 Issued in OK
Practice address
3029 W Main St
Jenks, OK 74037-3465
Phone
(918) 701-2331
Fax
(918) 417-7102
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 89173 OK Primary

Addresses

Primary practice location

3029 W Main St
Jenks, OK 74037-3465

Mailing address

3866 E 56TH St
Tulsa, OK 74135-3825
Phone (918) 728-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000495 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113183005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

1000 W Boise Cir
Broken Arrow, OK 74012-4900
Phone (918) 994-8000

2408 E 81St St
Tulsa, OK 74137-4200
Phone (918) 477-5000

3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300

Hospital & facility affiliations

  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
89173OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2016 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2019 Accepting new patients
H&H Medical Services, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2019 Accepting new patients

Locations

700 W 7th Ave
Ste 6
Bristow, OK 74010
Phone (918) 367-2215

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

3800 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9899

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

2408 E 81st St
Ste 600
Tulsa, OK 74137
Phone (918) 392-2780

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 2876
Tulsa, OK 74182

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1245593441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 E 56TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353825",
            "telephone_number": "918-728-0404",
            "fax_number": "918-340-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373465",
            "telephone_number": "918-701-2331",
            "fax_number": "918-417-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "ANDREW",
        "middle_name": "MCKINLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "89173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.