Dominick P Palmisano, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0049310 Issued in AR

Practice address

1202 N Muskogee PL
Claremore, OK 74017-3058

Phone

(918) 392-4456

Fax

(918) 392-4465

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Plains Anesthesia PLLCGroup PAC ID 9133431935, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Great Plains Anesthesia, PLLC

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1285020362
  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• Anesthesia Associates of Oklahoma PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1770891475
  Medicare reassignment
• Claremore Physicians LLC

  • Clinic/Center
  • Claremore, OK
  • NPI 1982692216
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)

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

• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1295709939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451315",
            "telephone_number": "918-392-4456",
            "fax_number": "918-392-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N MUSKOGEE PL",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173058",
            "telephone_number": "918-392-4456",
            "fax_number": "918-392-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "DOMINICK",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R0049310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100783690A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "1285810051",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shala Nadine Padilla, LCSW
• Pafford EMS of Oklahoma Inc
• David Painter
• Ashley Nicole Pallett, SLP-CFY
• Chris Palmer
• Melinda Ruth Palmisano
• Pamela a. Jarrett, DO, PC
• Sarah B Pankratz, PHARMD
• Andrea Faye Parker, MSW
• Cameron David Parker, PTA

• Certified Registered Nurse Anesthetist in Claremore, OK
• Providers in Claremore, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.