Michael John Smith, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R67096 Issued in NM

Practice address

316 S James St
Carlsbad, NM 88220-6228

Phone

(217) 249-4063

Fax

(575) 887-7626

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD
• Amsol Anesthetists of Illinois, PC

  • Certified Registered Nurse Anesthetist
  • Effingham, IL
  • NPI 1831257682

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Texas Anesthesia Specialists PA

  • Anesthesiology Physician
  • El Paso, TX
  • NPI 1710124490

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1356488811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S JAMES ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206228",
            "telephone_number": "217-249-4063",
            "fax_number": "575-887-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S JAMES ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206228",
            "telephone_number": "217-249-4063",
            "fax_number": "575-887-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R67096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Sloan, RN
• Smart Smiles Dental Care LLC
• Andrea D Smith
• Crystal Dawn Smith, LCSW
• Juhree Smith
• Tamela Smith
• Tory L Smith, PT
• Aurora Soieraj
• Jorge Sotelo
• Edward Soto, SW

• Certified Registered Nurse Anesthetist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.