Individual provider Active NPI

Christopher Len Deese, CRNA

  • Certified Registered Nurse Anesthetist
  • Tripler AMC, HI
National Provider Identifier
1447230362
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
75977 Issued in SC
Practice address
1 Jarrett White Rd
Tripler Army Medical Center
Tripler AMC, HI 96859-5001
Phone
(808) 433-2460
Fax
(808) 433-1558
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 75977 SC Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center
Tripler AMC, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tripler AMC, HI 96859-5001
Phone (808) 433-2460

Other identifiers 1

IdentifierTypeStateIssuer
AN1308MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041014000059 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658331640 Reassigns benefits to 5 organizations
I20210923002866 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658331640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
6627NCMDCounselor
75977SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jun 7, 2004 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2022 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
Kershaw Anesthesia, LLC CurrentSince Jan 15, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince May 1, 2022 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 7, 2004 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Aug 9, 2021 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Jun 9, 2021 Accepting new patients

Locations

4901 Dawn Dr
Ste 1100
Lumberton, NC 28360
Phone (910) 887-2361

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1447230362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "75977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1308",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler AMC, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.