Active NPI
Patrick David Daughtry, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1019299
- Practice address
- 1725 Pine St
Montgomery, AL 36106-1109 - Phone
- (334) 293-8059
- NPI assigned
- Dec 30, 2009
- 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 | 1-101256 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 1019299 | TX | Primary |
Addresses
Primary practice location
1725 Pine St
Montgomery, AL 36106-1109
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX, MO, WI, NM
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 753-7111
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4392
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of East Alabama LLC | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
Organizations & group practices 9
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
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Opelika, AL
- NPI 1245201771
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Anesthesiology Physician
- Las Vegas, NM
- NPI 1922603562
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1588994388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 PINE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061109",
"telephone_number": "334-293-8059"
}
],
"practiceLocations": [
{
"address_1": "6606 Lbj Fwy Ste 200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752406524",
"country_code": "US",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHTRY",
"first_name": "PATRICK",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-30",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-101256",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1019299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.