Active NPI
Jason Edward Butler, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201464
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-0612
- Fax
- (918) 481-4170
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R090656 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | C002907 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 201464 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other practice location 1
8805 S 12th St
Fort Smith, AR 72908-8897
Phone (478) 746-5644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
- Mercy Hospital Fort Smith
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R090656 | AR | MD | Registered Nurse |
| C002907 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stacy R Tait PA | Current | Accepting new patients | |
| Western Arkansas Obstetric Anesthesia LLC | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| Western Arkansas Anesthesiology Associates P.a. | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Georgia Pain and Spine Solutions, PC | Past | Accepting new patients | |
| Anesthesia Associates of Macon LLP | Past | Accepting new patients | |
| Concordia Anesthesiology, Inc | Past | Accepting new patients | |
| Rockdale Anesthesia Services, P.C. | Past | Accepting new patients | |
| Oracle Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Columbus Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Interoperability endpoints
- https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4
Organizations & group practices 13
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
- Fort Smith, AR
- NPI 1215755947
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1073788212
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1548202294
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1952671703
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Anesthesiology Physician
- Macon, GA
- NPI 1083720478
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1366742538
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Pain Medicine (Anesthesiology) Physician
- Hiram, GA
- NPI 1255820502
-
- Anesthesiology Physician
- Hiram, GA
- NPI 1629350566
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1477528826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-0612",
"fax_number": "918-481-4170"
}
],
"practiceLocations": [
{
"address_1": "8805 S 12th St",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729088897",
"country_code": "US",
"telephone_number": "478-746-5644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "JASON",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R090656",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C002907",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "201464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.