Individual provider Active NPI

Marion S Legros, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1497955090
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
695838 Issued in TX
Practice address
801 7TH Ave
Fort Worth, TX 76104-2733
Phone
(682) 885-4054
Fax
(682) 885-7497
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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 695838 TX Primary

Addresses

Primary practice location

801 7TH Ave
Fort Worth, TX 76104-2733

Mailing address

4100 International Plaza
Suite 600
Fort Worth, TX 76109-4823
Phone (817) 529-1923

Other identifiers 5

IdentifierTypeStateIssuer
200923501MedicaidTX
8904UAOtherTXBCBS
140442853OtherTXCSHCN GROUP
137345809OtherTXMEDICAID GROUP
200923502OtherTXCSHCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080213000471 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082797014 Reassigns benefits to 2 organizations
I20161111000877 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082797014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Anesthesia PLLCGroup PAC ID 9133431935, 19 clinicians
Anesthesia Management Solutions of Oklahoma PLLCGroup PAC ID 7618219213, 9 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 226-1251

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 931-2270

Hospital & facility affiliations

  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
695838TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network CurrentSince Oct 1, 2010 Accepting new patients
Anesthesia Management Solutions of Oklahoma PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2019 Accepting new patients
Great Plains Anesthesia, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2024 Accepting new patients
Cook Children'S Physician Network CurrentSince Oct 1, 2010 Accepting new patients
Anesthesia Consultants of Dallas LLP Past Accepting new patients
Dallas Anesthesia & Pain Medicine Specialists LLP Past Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients

Locations

901 12th Ave NW
Ardmore, OK 73401
Phone (580) 220-6560

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1433 W Humbolt St
Ft Worth, TX 76104
Phone (682) 885-7085

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

3601 N Calais St
Sherman, TX 75090
Phone (903) 813-3700

Organizations & group practices 8

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1497955090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094823",
            "telephone_number": "817-529-1923",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 7TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042733",
            "telephone_number": "682-885-4054",
            "fax_number": "682-885-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGROS",
        "first_name": "MARION",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "695838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200923501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8904UA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN GROUP",
            "identifier": "140442853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "137345809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "200923502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.