Individual provider Active NPI

Mary A Metzger, CRNA

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1427046283
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C00292 Issued in AR
Practice address
17 Rosaires Way
Little Rock, AR 72223-9103
Phone
(501) 766-7762
Fax
(501) 868-4470
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C00292 AR Primary

Addresses

Primary practice location

17 Rosaires Way
Little Rock, AR 72223-9103

Mailing address

PO Box 16474
Little Rock, AR 72231-6474
Phone (501) 771-4370

Other identifiers 2

IdentifierTypeStateIssuer
59476OtherARBLUE CROSS BLUE SHIELD
P00193408OtherARRAILROAD MEDICARE

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

State licenses

LicenseStateTypeSpecialty
C00292ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
St. Vincent Infirmary Medical Center Anesthesiology Past Accepting new patients
Ouachita Regional Anesthesia PLLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1427046283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16474",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722316474",
            "telephone_number": "501-771-4370",
            "fax_number": "501-327-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROSAIRES WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239103",
            "telephone_number": "501-766-7762",
            "fax_number": "501-868-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C00292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59476",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00193408",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.