Active NPI
Thomas Carl Meyer, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R23366
- Practice address
- 1720 University Dr S Rt1707
Fargo, ND 58103-4940 - Phone
- (701) 234-1728
- Fax
- (701) 234-1681
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 9, 2021
- 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 | R23366 | ND | Primary |
Addresses
Primary practice location
1720 University Dr S Rt1707
Fargo, ND 58103-4940
Mailing address
1720 University Dr S Rt1707
Fargo, ND 58103-4940
Phone (701) 234-1728
Other practice location 1
2301 25th St S Ste K
Fargo, ND 58103-6104
Phone (701) 234-1728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN, WI
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2084 | MN | MD | Registered Dietitian |
| R23366 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Twin Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Aurora Surgery Center, LLC | Past | Accepting new patients | |
| Dakota Specialty Institute | Past | Accepting new patients |
Locations
6565 France Ave S
Ste 400
Edina, MN 55435
Phone (952) 225-1630
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
400 10th St E
Waconia, MN 55387
1720 University Dr S
#1707
Fargo, ND 58103
Phone (701) 234-1728
2301 25th St S
Ste K
Fargo, ND 58103
Phone (701) 234-1728
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Blaine, MN
- NPI 1265105332
Nurse Anesthetist, Certified Registered, WI
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1114479375
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Grand Forks, ND
- NPI 1689842395
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1467513176
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1346289634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S RT1707",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S RT1707",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681"
}
],
"practiceLocations": [
{
"address_1": "2301 25th St S Ste K",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036104",
"country_code": "US",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "THOMAS",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R23366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.