Charles W Eubanks, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R32900 Issued in AR

Practice address

2301 S 56TH St
Ste 110
Fort Smith, AR 72903-3755

Phone

(479) 452-1581

Fax

(479) 452-2148

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anesthesia Services of Benton County PA

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1013084482
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1386674224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11880",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171880",
            "telephone_number": "479-452-1581",
            "fax_number": "479-452-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S 56TH ST",
            "address_2": "STE 110",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033755",
            "telephone_number": "479-452-1581",
            "fax_number": "479-452-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R32900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Erwin, WHNP-BC
• Mayra Esquivel, MHPP
• Joseph Clint Estrada, PHARMD
• Meghan Leigh Estrada, PHARMD
• Alexander Ethington
• Alexis Evans
• Ashley Evans
• Ashton Evans
• Julie Lynn Evans, LPN
• Dyanne Everett-Cantrell, MHPP

• Certified Registered Nurse Anesthetist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.