NPIMap

Organization Active NPI

Accord Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1366976441
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
680673 Issued in TX
Legal business name
ACCORD ANESTHESIA PLLC
Practice address
7200 Oakmont Blvd
Fort Worth, TX 76132-3902
Phone
(817) 732-3300
NPI assigned
Apr 17, 2017
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Jason Morningstar, CRNANPI 1053554386
Title
Owner
Phone
(817) 294-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 680673 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X K7696 TX

Addresses

Primary practice location

7200 Oakmont Blvd
Fort Worth, TX 76132-3902

Mailing address

182 Industrial Rd
Glen Rock, PA 17327-2626
Phone (717) 759-4375

Other practice location 1

5744 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6311
Phone (214) 273-2648

Other practice location 2

3055 Bardin Rd Ste 400
Grand Prairie, TX 75052-3819
Phone (214) 412-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170523000720 TX Part B Supplier - Clinic/Group Practice 6709153794 Receives reassigned benefits from 22 practitioners
Practice locations: Dallas, TX; Grand Prairie, TX

National Provider Directory

National Provider Directory

Locations

3055 Bardin Rd
Ste 400
Grand Prairie, TX 75052
Phone (214) 412-1500

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1366976441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 INDUSTRIAL RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173272626",
            "telephone_number": "717-759-4375",
            "fax_number": "717-759-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323902",
            "telephone_number": "817-732-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5744 Lyndon B Johnson Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406311",
            "country_code": "US",
            "telephone_number": "214-273-2648",
            "fax_number": "214-307-6057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Bardin Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750523819",
            "country_code": "US",
            "telephone_number": "214-412-1500",
            "fax_number": "214-466-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCORD ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MORNINGSTAR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-294-7444",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "680673",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K7696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.