NPIMap

Individual provider Active NPI

Louis Greene Stanfield II, CRNA, PHD

  • Certified Registered Nurse Anesthetist
  • Saint Paul, MN
National Provider Identifier
1386645141
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1386176 Issued in MN
Practice address
1730 Graham Ave
Suite 308
Saint Paul, MN 55116-3090
Phone
(651) 270-6849
Fax
(800) 631-6136
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 R1386176 MN Primary

Addresses

Primary practice location

1730 Graham Ave
Suite 308
Saint Paul, MN 55116-3090

Mailing address

63 Ferris Lane
Unit K6
Barrie, ONTARIO L4M5C4
CA
Phone (651) 270-6849

Other identifiers 4

IdentifierTypeStateIssuer
CB8050KMedicaidIN
39723MedicaidAL
430003046MedicaidMN
R20876MedicaidIL

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)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
290145NYMDInternal Medicine Physician
3317CAMDPhysical Therapy Assistant
R1386176MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Virginia), LLC Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
St. Catherine Hospital Past Accepting new patients
Northern Indiana Anesthesia Services, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
St Catherine Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of Danville Past Accepting new patients
Central Kansas Medical Center Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1386645141",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "63 FERRIS LANE",
            "address_2": "UNIT K6",
            "city": "BARRIE",
            "state": "ONTARIO",
            "postal_code": "L4M5C4",
            "telephone_number": "651-270-6849",
            "fax_number": "800-631-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 GRAHAM AVE",
            "address_2": "SUITE 308",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163090",
            "telephone_number": "651-270-6849",
            "fax_number": "800-631-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "LOUIS",
        "middle_name": "GREENE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "CRNA, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1386176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB8050K",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39723",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430003046",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R20876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.