Bill D Tatum, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0071233 Issued in OK

Practice address

1201 Health Center Pkwy
Yukon, OK 73099-6381

Phone

(405) 717-6800

NPI assigned

Mar 14, 2006

Last updated

Aug 11, 2011By the provider in NPPES

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

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canadian Valley Anesthesia Services

  dba INTEGRIS Canadian Valley Anesthesia Services

  • Anesthesiology Physician
  • Yukon, OK
  • NPI 1770541385
  NPD (past)
• Central Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1912008780

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1407825425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 963410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731963410",
            "telephone_number": "405-717-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996381",
            "telephone_number": "405-717-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "BILL",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0071233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00364317",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Take Care Health Oklahoma, P.C.
• Ashley Talsma
• Tamara Stonebarger Counseling
• Huixian Tang, DNP, APRN, FNP-C
• Emily Tate
• Rushita Tatum, MTEACH, BCBA
• Ashley Nicole Taylor, PA
• Bryan Ray Taylor, D.D.S.
• Erica Taylor
• Levi Jack Taylor

• Certified Registered Nurse Anesthetist in Yukon, OK
• Providers in Yukon, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.