Elliott Emile McGregory, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28095018A Issued in IN

Practice address

7 Meadows Shopping Ctr
Terre Haute, IN 47803-2373

Phone

(812) 237-0211

Fax

(812) 237-0182

NPI assigned

Jul 5, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Medicare reassignment NPD
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  NPD

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1265439285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PHOENIX",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031411",
            "telephone_number": "812-249-9646",
            "fax_number": "812-237-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEADOWS SHOPPING CTR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032373",
            "telephone_number": "812-237-0211",
            "fax_number": "812-237-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREGORY",
        "first_name": "ELLIOTT",
        "middle_name": "EMILE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28095018A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023550A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000088671",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "430050136",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Tad McDonald, M.D.
• Rodney Dee McDonald, DDS
• Steven A McDonald, MD
• Eric McGee
• Jassie McGovern, DPM
• Phrance McGruder, RBT
• Douglas Justin McGuirk, M.D.
• Katherine Rose McKanna, FNP-C
• Micah Pearce McKenzie, CRNA
• Deborah McKinney, PTA

• Certified Registered Nurse Anesthetist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.