Jason A Green, CRNA, MSN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN3266912 Issued in FL

Practice address

311 N Clyde Morris Blvd
Suite 350
Daytona Beach, FL 32114-2781

Phone

(386) 255-1266

Fax

(386) 255-8520

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, IN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment Care Compare group NPD
• Beacon Medical Group, Inc.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1033161617
  Medicare reassignment Care Compare group NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • Gainesville, FL
  • NPI 1629588439

  Nurse Anesthetist, Certified Registered

  NPD
• Beacon Medical Group Inc

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1437803285
  NPD
• Coastal Anesthesiology Consultants, LLC

  • Anesthesiology Physician
  • St Augustine, FL
  • NPI 1366608796
  NPD (past)
• Halifax Anesthesiology Associates PA

  • Anesthesiology Physician
  • Daytona Beach, FL
  • NPI 1639194590
  NPD (past)
• Jacksonville Anesthesia Corporation Inc

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1033163738
  NPD (past)
• Volusia Anesthesia Associates

  • Anesthesiology Physician
  • Daytona Beach, FL
  • NPI 1205862992
  NPD (past)
• Clinic Physician Services Co. LLC

  • Anesthesiology Physician
  • Mayfield HTS, OH
  • NPI 1235127408
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Healthcare Group Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation
• Elkhart General Hospital, Inc.

  • General Acute Care Hospital
  • Elkhart, IN
  • NPI 1477551489
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1528075975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 350",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142781",
            "telephone_number": "386-255-1266",
            "fax_number": "386-255-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 350",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142781",
            "telephone_number": "386-255-1266",
            "fax_number": "386-255-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN3266912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Diane Grayson, PA-C
• Greater Daytona Physical Therapy
• Greater Daytona Women'S Health and Physical Therapy
• Andrew B Green, DPM
• Angel A Green
• Thomas J Green, MD
• Thomas Justin Green Jr., M.D.
• Walter Craig Green Jr.
• Catherine Margaret Greenblum, PHD, APRN, FNP-BC
• Jesse Seth Greenblum, M.D.

• Certified Registered Nurse Anesthetist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.