Active NPI
Charles Weeden, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 139391
- Practice address
- 1755 Kirby Pkwy
Memphis, TN 38120-4398 - Phone
- (901) 725-5846
- Fax
- (901) 726-4827
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 139391 | TN | Primary |
Addresses
Primary practice location
1755 Kirby Pkwy
Memphis, TN 38120-4398
Mailing address
PO Box 171306
Memphis, TN 38187-1306
Phone (901) 725-5846
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09454865 | Medicaid | MS | |
| 4058266 | Other | TN | BLUE CROSS |
| 3632659 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 Madison Ave
Suite 300
Memphis, TN 38104-6428
Phone (901) 390-2930
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Anesthesia Group, PA | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Midsouth Speciality Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Mississippi LLC | Past | Accepting new patients |
Locations
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000
1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1044 Cresthaven Rd
Memphis, TN 38119
Phone (662) 470-5029
3301 S 14th St
Ste 16180
Abilene, TX 79605
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Germantown, TN
- NPI 1245956440
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
-
- Anesthesiology Physician
- Ozark, MO
- NPI 1700779121
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1023723558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1366480196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171306",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381871306",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 KIRBY PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204398",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDEN",
"first_name": "CHARLES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "139391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09454865",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4058266",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3632659",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.