Active NPI
Csra Anesthesia
- Certified Registered Nurse Anesthetist
- Evans, GA
National Provider Identifier
1346569142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN108812
- Legal business name
- CSRA ANESTHESIA
- Practice address
- 4480 Sparkleberry CT
Evans, GA 30809-4454 - Phone
- (706) 868-0131
- Fax
- (706) 210-0771
- NPI assigned
- May 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dean Roger Loss, CRNA
- Title
- President
- Phone
- (706) 868-1410
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN108812 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1388 | SC |
Addresses
Primary practice location
4480 Sparkleberry CT
Evans, GA 30809-4454
Mailing address
P O Box 21151
Martinez, GA 30917-1551
Phone (706) 868-0131
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Augusta, GA
- NPI 1396703419
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1346569142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 21151",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309171551",
"telephone_number": "706-868-0131",
"fax_number": "706-854-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 SPARKLEBERRY CT",
"city": "EVANS",
"state": "GA",
"postal_code": "308094454",
"telephone_number": "706-868-0131",
"fax_number": "706-210-0771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSRA ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-19",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "LOSS",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-868-1410",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN108812",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1388",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.