Sean Joseph Hintz, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mansfield, LA
NPI 1508926510 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1508926510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APO3008 (LA)
- Practice address
- 207 Jefferson St
Mansfield, LA 71052-2603 - Phone
- (318) 872-4160
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tandem Anesthesia LLC
Practice addresses (Care Compare)
207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-4610
445 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 869-1130
Hospital & facility affiliations
- Desoto Regional Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000831 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254230493 | Reassigns benefits to 3 organizations |
| I20161012001962 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254230493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN076473 | LA | MD | Registered Nurse |
| APO3008 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Tandem Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical Center Anesthesiologists | Current |
Accepting new patients | |
| Arena Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
1455 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 798-4424
457 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 861-1260
445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130
1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800
7941 Youree Dr
Shreveport, LA 71105
Phone (318) 797-7941
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APO3008 | LA | Yes |
| Registered Nurse | 163W00000X | RN076473 | LA |
Addresses
Primary practice location
207 Jefferson St
Mansfield, LA 71052-2603
Mailing address
921 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (800) 444-6110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1694398 | Medicaid | LA |
Other providers in Mansfield, LA
- Heart 2 Home Care Services, LLC
- Heart Hill Recovery LLC
- Heartfelt Home Care LLC
- Ashley Henderson
- Hill Enterprise LLC
- Lashunda Hogan
- Mary Holmes
- Susannah Holt
- Shanevia Houston
- Nakeysha Howard
All providers in Mansfield, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.