Individual provider Active NPI

Thomas Michael Buster, RN

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1285203646
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
205565 Issued in OK
Practice address
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Phone
(405) 271-4351
Fax
(405) 271-8695
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0110938 OK
Certified Registered Nurse Anesthetist 367500000X 205565 OK Primary

Addresses

Primary practice location

920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036

Mailing address

PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000337 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022406149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Center Physicians LLCGroup PAC ID 3375761752, 5 clinicians
Oklahoma Anesthesia Specialists PLLCGroup PAC ID 6800243106, 7 clinicians

Practice addresses (Care Compare)

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 418-4800

2301 N 9TH Ave
Purcell, OK 73080-1741
Phone (405) 527-6524

25 N Rockwell Ave
Oklahoma City, OK 73127-6112
Phone (405) 796-4242

Hospital & facility affiliations

  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158
  • Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0110938OKMDRegistered Nurse
205565OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Anesthesia Specialists PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients

Locations

1520 S Main St
Blackwell, OK 74631
Phone (580) 262-8420

1530 SW 119th St
Unit 108
Oklahoma City, OK 73170
Phone (405) 594-8846

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

25 N Rockwell Ave
Oklahoma City, OK 73127
Phone (405) 365-4456

2929 NW 138th St
Oklahoma City, OK 73134
Phone (405) 849-6979

9913 S May Ave
Ste C
Oklahoma City, OK 73159
Phone (405) 605-4350

2301 N 9th Ave
Purcell, OK 73080
Phone (405) 527-6524

1600 Garth Brooks Blvd
Yukon, OK 73099
Phone (405) 578-5234

Organizations & group practices 2

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 3

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1285203646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26901",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260901",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # WP1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTER",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0110938",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "205565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.