Trey Gorham

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

126865 Issued in LA

Practice address

3900 N Causeway Blvd #625
Metairie, LA 70002

Phone

(504) 779-5515

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in LA, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

The Memorial HospitalGroup PAC ID 1254231533, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital, the Hospital, Craig, CO, CCN 061314
• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

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.

• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• The Memorial Hospital

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Medicare reassignment Care Compare group NPD
• Arapahoe Gastroenterology Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1598115479

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Denver Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Boulder, CO
  • NPI 1902624422

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Memorial Hospital

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809
  NPD
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1902832603
  NPD (past)

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

• Our Lady of the Lake Hospital Inc.

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation
• The Memorial Hospital

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Care Compare affiliation
• The Memorial Hospital

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1356897698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N CAUSEWAY BLVD STE 625",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N CAUSEWAY BLVD #625",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-779-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "TREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "126865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Amanda Goodwin, RD
• Michael H. Gootee, MA, LPC, LMFT
• Jenea Gordon
• Leslie Gordon, M.A. L.P.C.
• Roderick Gordon III
• Taylor Goudy
• Leyton Connor Gould
• Cedric Jerome Governor, BS PSYCHOLOGY
• Valerie Goyeneche, CRNA
• Tony Goyette

• Certified Registered Nurse Anesthetist in Metairie, LA
• Providers in Metairie, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.