Active NPI
David Andrews, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201260021
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- Fax
- (503) 494-8368
- NPI assigned
- Jun 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 46012 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 201260021 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3601 SW River Pkwy Unit 1000
Portland, OR 97239-4557
Phone (843) 801-3015
Other practice location 1
1000 Johnnie Dodds Blvd Ste 103208
Mount Pleasant, SC 29464-3135
Phone (843) 801-3015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00078405 | Other | SC | RR MEDICARE |
| AN0713 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, OR, TN, WV, VA
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100121000201 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466594916 | Reassigns benefits to 2 organizations |
| I20121127000038 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466594916 | Reassigns benefits to 3 organizations |
| I20160913001601 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466594916 | Reassigns benefits to 1 organization |
| I20161007001435 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466594916 | Reassigns benefits to 1 organization |
| I20170119001862 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466594916 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952 | SC | MD | Counseling Psychologist |
| 201260021 | OR | MD | Certified Registered Nurse Anesthetist |
| 46012 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| University Anesthesiology Associates, LLC | Current | Accepting new patients | |
| On-Site Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oregon Pain Management LLC | Current | Accepting new patients | |
| Mobile Anesthesia, LLC | Past | Accepting new patients | |
| Inlet Anesthesia Consultants, PC | Past | Accepting new patients | |
| Nurse Anesthesia of South Carolina LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Trident Anesthesia Group, LLC | Past | Accepting new patients | |
| Anesthesia Works LLC | Past | Accepting new patients | |
| Georgetown Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355
2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010
6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614
2631 Forest Dr
Columbia, SC 29204
Phone (803) 254-8449
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Interoperability endpoints
- dandrews105326@direct.ohsu.edu
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Lake Oswego, OR
- NPI 1669417176
Nurse Anesthetist, Certified Registered, OR
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1144557232
-
- Anesthesiology Physician
- Georgetown, SC
- NPI 1104156892
-
- Anesthesiology Physician
- Murrells Inlet, SC
- NPI 1700031002
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1073548590
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
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": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1477595411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW RIVER PKWY UNIT 1000",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394557",
"telephone_number": "843-801-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641",
"fax_number": "503-494-8368"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnnie Dodds Blvd Ste 103208",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294643135",
"country_code": "US",
"telephone_number": "843-801-3015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "46012",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201260021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00078405",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0713",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.