John Alan Offutt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

231449 Issued in TX

Practice address

2403 Pebble Dr
Granbury, TX 76048-2618

Phone

(817) 578-8880

NPI assigned

Sep 27, 2005

Last updated

Jan 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26154/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia of North Texas, PA

  • Certified Registered Nurse Anesthetist
  • Arlington, TX
  • NPI 1598949661

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Cross Timbers Surgery Center, LLC

  dba North Texas GI Center

  • Ambulatory Surgical Clinic/Center
  • Arlington, TX
  • NPI 1841295425
  NPD (past)
• Rebecca S. Shank MD PA

  • Neurology Physician
  • Granbury, TX
  • NPI 1760502199
  NPD (past)
• River Valley Anesthesia & Pain Management,PA

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1083600076
  NPD (past)
• Weatherford Anesthesia Associates, PA

  • Anesthesiology Physician
  • Weatherford, TX
  • NPI 1437118775

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiology Management Inc

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1679521355
  NPD (past)
• Blackhawk Mangum, LLC

  dba Robison Clinic

  • Clinic/Center
  • Mangum, OK
  • NPI 1811351703
  NPD (past)
• St Marys Anesthesia Group

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1629010269
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1316934052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 PEBBLE DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482618",
            "telephone_number": "817-219-5656",
            "fax_number": "817-578-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 PEBBLE DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482618",
            "telephone_number": "817-578-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFUTT",
        "first_name": "JOHN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "231449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126053108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88915U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyatt Jacob O'Grady, D.D.S.
• Oak Partners LP (Courtyards at Lake Granbury)
• Lucia Obergoenner, WHNP-BC
• Jennifer Dale Occhipinti, LCSW, LCDC
• Katelyn Odonnell
• Kelby M Okada, D.M.D.
• Susan Claudette Oliver, M.ED., L.P.C.-S.
• Ophthalmic Partners, PA
• Nancy Lynne Opperman, FNP
• Frederick Mario Oriti, PA-C

• Certified Registered Nurse Anesthetist in Granbury, TX
• Providers in Granbury, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.