Robert Grant Allenbach, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mobile, AL
NPI 1376936898 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1376936898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 105085 (AL)
- Practice address
- 6801 Airport Blvd
Mobile, AL 36608-3709 - Phone
- (251) 633-1000
- NPI assigned
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- USA Health Anesthesia Billing Services LLC
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
Hospital & facility affiliations
- USA Health HCA Providence Hospital, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002246 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284955154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105085 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Providence Hospital | Current | Accepting new patients | |
| Providence Hospital | Current |
Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 105085 | AL | Yes |
Addresses
Primary practice location
6801 Airport Blvd
Mobile, AL 36608-3709
Mailing address
10558 Eastern Shore Blvd Apt 527
Spanish Fort, AL 36527-5855
Phone (251) 455-9828
Other providers in Mobile, AL
- Cailin Bree Allen
- George Joseph Allen
- Kinsey Allen
- Tamika Allen R. Allen
- Tessa Allen
- Brittney Fain Allgood
- Micah Marie Allison
- Ronald C. Allison
- Deena Alloul
- Lisa Marie Allsup
All providers in Mobile, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.