Individual provider Active NPI

Stephen Mason, CRNA

  • Certified Registered Nurse Anesthetist
  • Pasadena, TX
National Provider Identifier
1376614792
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
027179 Issued in TX
Practice address
4301 Vista Rd
BLDG. a
Pasadena, TX 77504-2117
Phone
(713) 378-3066
Fax
(713) 378-3077
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 027179 TX Primary

Addresses

Primary practice location

4301 Vista Rd
BLDG. a
Pasadena, TX 77504-2117

Mailing address

PO Box 5607
Pasadena, TX 77508-5607
Phone (713) 378-3066

Other identifiers 1

IdentifierTypeStateIssuer
119922606MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
027179TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
RPK Anesthesia PA Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Vickery Health Center Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Past Accepting new patients
Pasadena Pain Management Consultants, PA. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1376614792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085607",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "address_2": "BLDG. A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "027179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119922606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.