James R Ragon, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Piperton, TN
NPI 1366448078 · NPPES record last updated Feb 2, 2015
Key facts
- NPI
- 1366448078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 51354 (TN)
- Practice address
- 45 Parkview CV
Piperton, TN 38017-5389 - Phone
- (901) 755-8516
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9094 | TN | MD | Speech-Language Pathologist |
| 51354 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Past |
Accepting new patients | |
| Pediatric Anesthesiologists P a | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 51354 | TN | Yes |
Addresses
Primary practice location
45 Parkview CV
Piperton, TN 38017-5389
Mailing address
45 Parkview CV
Piperton, TN 38017-5389
Phone (901) 755-8516
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370269 | Medicaid | OH | |
| 3600575 | Medicaid | TN | |
| 200458090A | Medicaid | IN | |
| 008950261 | Medicaid | VA | |
| 1978701 | Medicaid | LA | |
| 82636200 | Medicaid | WI | |
| QAN018 | Medicaid | SC | |
| 0716241 | Medicaid | IA | |
| 274931 | Medicaid | OR | |
| 422400000 | Medicaid | ME | |
| 916802622 | Medicaid | MO | |
| 100783150A | Medicaid | OK | |
| 4303442 | Medicaid | MT | |
| 00126560 | Medicaid | MS | |
| 055031102 | Medicaid | TX | |
| 104802080 | Medicaid | MI | |
| 124635701 | Medicaid | AR |
Other providers in Piperton, TN
- Sophia Karla Bray
- Beverly Brown
- Paige Nicole Clever
- Ann Gupton
- Adam Thomas Hayden
- Vitruvian Wellness
All providers in Piperton, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.