Individual provider Active NPI

John W Dew II, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawton, OK
National Provider Identifier
1316939960
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0040753 Issued in OK
Practice address
1003 NW Becontree PL
Lawton, OK 73505-4126
Phone
(580) 591-1910
Fax
(580) 536-2067
NPI assigned
Aug 19, 2005
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0040753 OK Primary

Addresses

Primary practice location

1003 NW Becontree PL
Lawton, OK 73505-4126

Mailing address

PO Box 6418
Lawton, OK 73506-0418
Phone (580) 591-1910

Other identifiers 1

IdentifierTypeStateIssuer
100781740AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000471 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890873525 Reassigns benefits to 6 organizations
Practice locations: Lawton, OK

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Wichita Medical Anesthesia LLCGroup PAC ID 1355767385, 2 clinicians
J J YoungGroup PAC ID 7517126105, 3 clinicians

Practice addresses (Care Compare)

10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000

3617 W Gore Blvd
Suite C
Lawton, OK 73505-6373
Phone (580) 351-0500

4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28625OKMDPsychiatry Physician
R0040753OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
J J Young CurrentSince Jul 1, 1966 Accepting new patients
Wichita Medical Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Ias Oklahoma LLC CurrentSince Mar 15, 2024 Accepting new patients
Agape Anesthesia Crna, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
H&H Medical Services, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2020 Accepting new patients
George F Robie Jr M D PLLC Past Accepting new patients

Locations

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3617 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 351-0500

4214 SW Lee Blvd
Lawton, OK 73505
Phone (580) 353-5860

5370 NW Cache Rd
Ste 4
Lawton, OK 73505
Phone (405) 888-3893

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

3800 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9899

419 W Gray St
Norman, OK 73069
Phone (405) 329-7300

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

9709 E 79th St
Tulsa, OK 74133
Phone (918) 994-4000

Dept 2876
Tulsa, OK 74182

1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240

1540 Keller Pkwy
Ste 108429
Keller, TX 76248

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1316939960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6418",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735060418",
            "telephone_number": "580-591-1910",
            "fax_number": "580-536-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NW BECONTREE PL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054126",
            "telephone_number": "580-591-1910",
            "fax_number": "580-536-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEW",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0040753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100781740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.