Active NPI
John Dempsey Myers II, CRNA
- Certified Registered Nurse Anesthetist
- Athens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 237242
- Practice address
- 510 E Clinton Ave
Athens, TX 75751-3410 - Phone
- (903) 731-1000
- Fax
- (903) 677-5586
- NPI assigned
- Nov 16, 2005
- Last updated
- Apr 28, 2016
- 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 | 237242 | TX | Primary |
Addresses
Primary practice location
510 E Clinton Ave
Athens, TX 75751-3410
Mailing address
PO Box 270
Athens, TX 75751-0270
Phone (903) 723-2465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1347825-05 | Medicaid | TX | |
| 1347825-04 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients |
Locations
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1467434456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "ATHENS",
"state": "TX",
"postal_code": "757510270",
"telephone_number": "903-723-2465",
"fax_number": "903-677-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E CLINTON AVE",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513410",
"telephone_number": "903-731-1000",
"fax_number": "903-677-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JOHN",
"middle_name": "DEMPSEY",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "237242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1347825-05",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1347825-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.