Charles Harrison Hawthorne, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

205234 Issued in OK

Practice address

920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036

Phone

(405) 271-4351

Fax

(405) 271-8695

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, IL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Associated Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1558306480
  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Associated Anesthesiologists, SC

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1023612082
  NPD
• Anesthesia East Inc

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1942209457
  NPD (past)
• DRS Burleigh, Dupleix and Rees

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1659368694
  NPD (past)
• Jefferson Davis Anesthesia Inc.

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
  • NPI 1487885315

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Jorge J Bravo MD a Professional Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1801804646
  NPD (past)
• South Louisiana Anesthesiology Associates Inc

  • Anesthesiology Physician
  • New Iberia, LA
  • NPI 1538193719
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1407926249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26901",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260901",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # WP1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "CHARLES",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "068184",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "205234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1569739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William D Hawley, M.D.
• Kelli Ann Haworth, PA-C
• Steven Wade Hawpe, B.S.
• Laura Marie Haws, MD
• Hassan Mohammed Hawsawi, MBBS
• Alan Marshall Hawxby, MD
• Margaret Elaine Haxton, APRN-CCNS
• Brittany Nichole Hayden
• Dillon Hayden, PHARM.D.
• Jeff Houston Hayden, B.A.

• Certified Registered Nurse Anesthetist in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.