Active NPI
Kevin Bryan Doan, BSN, CRNA
- Certified Registered Nurse Anesthetist
- Hammond, LA
National Provider Identifier
1306875463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP03836
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1434 - Phone
- (985) 230-1682
- Fax
- (985) 230-1617
- NPI assigned
- Jul 1, 2006
- 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 | AP03836 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Mailing address
PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-1682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1187488 | Medicaid | LA | |
| 430074818 | Other | RR MEDICARE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ | Health Information Exchange (HIE) | North Oaks Medical Center, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
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
- North Oaks Medical Center LLC
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Hospital & facility affiliations
- North Oaks Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.91 of 100
- Quality
- 78.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03836 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients | |
| Anesthesia Consultants of the South LLC | Past | Accepting new patients |
Locations
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
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.
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1780868612
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1881656833
-
- Clinical Medical Laboratory
- Hammond, LA
- NPI 1619303773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1306875463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3087",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704043087",
"telephone_number": "985-230-1682",
"fax_number": "985-230-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-1682",
"fax_number": "985-230-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "KEVIN",
"middle_name": "BRYAN",
"credential": "BSN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP03836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1187488",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "430074818",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
"affiliation": "Y",
"affiliationName": "North Oaks Medical Center, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "15790 Paul Vega Md Dr",
"city": "Hammond",
"state": "LA",
"country_code": "US",
"postal_code": "704031434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.