Active NPI
Coleman Trey Thrash, CRNA
- Certified Registered Nurse Anesthetist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C002887
- Practice address
- 2710 Rife Medical LN
Rogers, AR 72758-1452 - Phone
- (913) 642-4900
- Fax
- (913) 381-0979
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C002887 | AR | Primary |
Addresses
Primary practice location
2710 Rife Medical LN
Rogers, AR 72758-1452
Mailing address
PO Box 507
Lowell, AR 72745-0507
Phone (913) 642-4900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191652001 | Medicaid | AR | |
| P01031943 | Other | AR | RR |
| 5V985 | Other | AR | BCBSAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002887 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753
1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000
1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005
12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340
16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
1891 Medical Pkwy
San Marcos, TX 78666
Phone (512) 754-7999
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1457620478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450507",
"telephone_number": "913-642-4900",
"fax_number": "913-381-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 RIFE MEDICAL LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "913-642-4900",
"fax_number": "913-381-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASH",
"first_name": "COLEMAN",
"middle_name": "TREY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C002887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191652001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR",
"identifier": "P01031943",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAR",
"identifier": "5V985",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.