Active NPI
Anesthesia Safety First-Crockett PA
- Certified Registered Nurse Anesthetist
- Sulphur Springs, TX
National Provider Identifier
1396771663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ANESTHESIA SAFETY FIRST-CROCKETT PA
- Practice address
- 115 Airport Rd
Sulphur Springs, TX 75482-2105 - Phone
- (903) 885-9758
- Fax
- (903) 885-1052
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul D Martin, MD
- Title
- President
- Phone
- (903) 885-9758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
115 Airport Rd
Sulphur Springs, TX 75482-2105
Mailing address
PO Box 678
Sulphur Springs, TX 75483-0678
Phone (903) 885-9758
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396771663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754830678",
"telephone_number": "903-885-9758",
"fax_number": "903-885-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 AIRPORT RD",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822105",
"telephone_number": "903-885-9758",
"fax_number": "903-885-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SAFETY FIRST-CROCKETT PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-885-9758",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.