Active NPI
Coby D. Foreman, CRNA
- Certified Registered Nurse Anesthetist
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP118094
- Practice address
- 755 N 11TH St
Suite P3600
Beaumont, TX 77702-1500 - Phone
- (409) 838-5214
- NPI assigned
- May 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP118094 | TX | Primary |
Addresses
Primary practice location
755 N 11TH St
Suite P3600
Beaumont, TX 77702-1500
Mailing address
PO Box 5587
Beaumont, TX 77726-5587
Phone (409) 838-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090623000431 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658422134 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergenchealth PLLCGrasshopper Anesthesia Services PLLC
Practice addresses (Care Compare)
501 S Ragsdale St
Ut Health Jacksonville
Jacksonville, TX 75766-2434
Phone (903) 541-5000
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
- Ut Health East Texas Jacksonville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP118094 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Anesthesia Partners, PLLC | Current | Accepting new patients | |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
1402 Medical Dr
Sulphur Springs, TX 75482
Phone (903) 557-5661
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered, TX
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1285869016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5587",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777265587",
"telephone_number": "409-838-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N 11TH ST",
"address_2": "SUITE P3600",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021500",
"telephone_number": "409-838-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "COBY",
"middle_name": "D.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-22",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP118094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.