Active NPI
Jean Gabriel Richard, CRNA
- Certified Registered Nurse Anesthetist
- Miami, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 98467
- Practice address
- 200 2ND Ave SW
Miami, OK 74354-6830 - Phone
- (918) 540-7520
- Fax
- (918) 540-7533
- NPI assigned
- Dec 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 98467 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 674661 | TX |
Addresses
Primary practice location
200 2ND Ave SW
Miami, OK 74354-6830
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (918) 540-7520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166648902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100827000491 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4082697875 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Anesthesia Services, LLCPortland Anesthesia Services LLC
Practice addresses (Care Compare)
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000
Hospital & facility affiliations
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674661 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients | |
| Sundance Anesthesia PA | Past | Accepting new patients | |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Interoperability endpoints
- jrichard29669@direct.integrisok.com
Organizations & group practices 6
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
- Oklahoma City, OK
- NPI 1912432048
Nurse Anesthetist, Certified Registered, OK
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
-
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1760428361
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1295712420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555",
"telephone_number": "918-540-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 2ND AVE SW",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546830",
"telephone_number": "918-540-7520",
"fax_number": "918-540-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "JEAN",
"middle_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "98467",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "674661",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166648902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.