Northstar Anesthesia II PA
Organization Active NPI Anesthesiology Physician · Burleson, TX
NPI 1477066405 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1477066405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- NORTHSTAR ANESTHESIA II PA
- Practice address
- 11801 South Fwy
Burleson, TX 76028-7021 - Phone
- (817) 293-9110
- NPI assigned
- Nov 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Philip W Eichenholz, MD
- Title
- President
- Phone
- (214) 687-0008
Practitioners 440
-
Josue Esteban Atkinson, CRNA
-
Carolina Cardenas, CRNA
-
Frances L Crouse, CRNA
-
John Gaona, CRNA
-
Steven Garza, CRNA
-
Marco Antonio Hernandez Jr., CRNA, DNP-A
-
Edelmiro Roberto Morales Jr., CRNA, PA-C
-
Chang R Myung, MD
-
Dennerd Ovando Jr., M.D.
-
John Miguel Rogers, CRNA
-
Melissa Rouquette, CRNA
-
Wendy Saenz, CRNA
-
Richard Lawrence Slaydon, CRNA
-
Heather Marie Smith, CRNA
-
Bruce F. Alexander, CRNA
-
Nabil Ghabrial, MD
-
Crystal Lamont, DNP, CRNA
-
Caroline Topolinski, CRNA
-
Ahmed Basem Abdel Rahman, MD, FRCPC, MBA
-
Rene Lee Acosta, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180110000102 | TX | Part B Supplier - Clinic/Group Practice | 2365701737 |
Receives reassigned benefits from 429 practitioners Practice locations: Brownsville, TX; Burleson, TX; Corpus Christi, TX; Fort Worth, TX; Georgetown, TX; Greenville, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
11801 South Fwy
Burleson, TX 76028-7021
Mailing address
PO Box 224563
Dallas, TX 75222-4563
Phone (239) 610-0775
Other providers in Burleson, TX
- North Star Wellness, LLC
- North Texas Heart and Vascular PLLC
- North Texas Surgical Assistant
- Kristin E North
- Northland Hearing Center, Inc.
- Ntfa, LLC
- Chukwunonso Nwankwo
- Jachikeh Matthew Obegolu
- Occupational Health Centers of the Southwest, P.a.
- Ocean Blue Holdings, LLC
All providers in Burleson, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.