Individual provider Active NPI

Eric C Stevens, CRNA

  • Certified Registered Nurse Anesthetist
  • Sheffield, AL
National Provider Identifier
1275633349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1084806 Issued in AL
Practice address
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone
(256) 386-4005
Fax
(256) 386-4685
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1084806 AL Primary

Addresses

Primary practice location

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Mailing address

89 Aviator LN
Tuscumbia, AL 35674-9388
Phone (256) 383-7381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000666 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436224151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSL Anesthesia Services LLCGroup PAC ID 5799151544, 6 clinicians

Practice addresses (Care Compare)

15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1084806ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP - Florence LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2019 Accepting new patients
JMJ Anesthesia PC CurrentSince Jan 1, 2019 Accepting new patients
MSL Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Shehryar Anjum, MD, LLC Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

Organizations & group practices 4

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.

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275633349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 AVIATOR LN",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356749388",
            "telephone_number": "256-383-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "256-386-4005",
            "fax_number": "256-386-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1084806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.