Active NPI
Blaine Michael West, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, NE
National Provider Identifier
1346353513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 023069
- Practice address
- 4600 38TH Street
Columbus Community Hospital
Columbus, NE 68601 - Phone
- (402) 564-7118
- Fax
- (402) 562-3376
- NPI assigned
- Aug 15, 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 | 023069 | NE | Primary |
Addresses
Primary practice location
4600 38TH Street
Columbus Community Hospital
Columbus, NE 68601
Mailing address
4511 28TH Street
Columbus, NE 68601
Phone (402) 564-7743
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10200 | Other | NE | MIDLANDS |
| 277095 | Other | NE | COVENTRY |
| P00124183 | Other | NE | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0473 | SD | MD | Physician Assistant |
| 023069 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West River Anesthesiology Consultants PC | Past | Accepting new patients |
Organizations & group practices 1
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
- Rapid City, SD
- NPI 1396775284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346353513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 28TH STREET",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "68601",
"telephone_number": "402-564-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 38TH STREET",
"address_2": "COLUMBUS COMMUNITY HOSPITAL",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "68601",
"telephone_number": "402-564-7118",
"fax_number": "402-562-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "BLAINE",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "023069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "10200",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "277095",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00124183",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.