NPIMap

Organization Active NPI

Crews-Peters Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1376562595
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R33596 Issued in AR
Legal business name
CREWS-PETERS ANESTHESIA, LLC
Practice address
623 E Matthews Ave
Suite C
Jonesboro, AR 72401-3145
Phone
(870) 934-8010
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Lawrence C Peters, CRNANPI 1437101086
Title
Crna
Phone
(870) 934-8010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R33596 AR Primary

Addresses

Primary practice location

623 E Matthews Ave
Suite C
Jonesboro, AR 72401-3145

Mailing address

2612 Hidden Hill Cir
Jonesboro, AR 72404-6997
Phone (870) 935-7106

Other identifiers 3

IdentifierTypeStateIssuer
5F604OtherARBLUE CROSS BLUE SHIELD
5F604OtherMEDICARE PTAN
DF7011OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1376562595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 HIDDEN HILL CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046997",
            "telephone_number": "870-935-7106",
            "fax_number": "870-934-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E MATTHEWS AVE",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-934-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREWS-PETERS ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "870-934-8010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R33596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5F604",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5F604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.