Three Rivers Anesthesia Service PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP175020 Issued in FL

Legal business name

THREE RIVERS ANESTHESIA SERVICE PA

Practice address

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Phone

(904) 824-4990

Fax

(904) 824-2226

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

James H McNair, CRNA

Title

Owner

Phone

(904) 824-4990

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1366451783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS ANESTHESIA SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-824-4990",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP175020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306328300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306328301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3065",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabryanna S Thompson
• Geneva J Thompson, LCSW
• Mark Edmund Thompson, D.O.
• Danny Michael Thornton
• Michelle Christine Thorpe
• Aaron Threm
• Kelsey Lynn Thurman
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• Joshua Timmons, PTA
• Tommie L. Timmons, CRT

• Certified Registered Nurse Anesthetist in Lake City, FL
• Providers in Lake City, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.