Individual provider Active NPI

Coleman Trey Thrash, CRNA

  • Certified Registered Nurse Anesthetist
  • Rogers, AR
National Provider Identifier
1457620478
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002887 Issued in AR
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

Updated by the provider on Nov 6, 2013

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 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

IdentifierTypeStateIssuer
191652001MedicaidAR
P01031943OtherARRR
5V985OtherARBCBSAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117001050 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769640739 Reassigns benefits to 1 organization

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
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

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

LicenseStateTypeSpecialty
C002887ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC CurrentSince Sep 27, 2018 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 27, 2018 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.

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": "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.

Verify at the official NPI Registry.