Keith Edward James, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mount Pleasant, TX
NPI 1598705691 · NPPES record last updated Sep 21, 2018
Key facts
- NPI
- 1598705691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 699953 (TX)
- Practice address
- 2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338 - Phone
- (903) 577-6000
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ouachita Regional Anesthesia PLLC
Practice addresses (Care Compare)
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000
Hospital & facility affiliations
- National Park Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720000039 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284613589 | Reassigns benefits to 3 organizations |
| I20230607000073 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284613589 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71379 | TX | MD | Pharmacist |
| 699953 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburg Hospital, LLC | Current |
Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Pittsburg Hospital LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ouachita Regional Anesthesia PLLC | Current |
Accepting new patients | |
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Garrett Family Medicine, LLC | Past | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Past | Accepting new patients | |
| Anesthesia Consultants | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Smso Anesthesia, LLC | Past |
Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000
8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 71379 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 699953 | TX | Yes |
Addresses
Primary practice location
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Mailing address
PO Box 511
Mount Pleasant, TX 75456-0511
Phone (903) 577-6000
Other practice location 1
906 Judson Rd
Longview, TX 75601-5113
Phone (903) 655-1313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166171202 | Medicaid | TX |
Other providers in Mount Pleasant, TX
- Jemetrias Hudson
- Rae Anna Huffman
- Kimberly Humphrey
- Monisola Oluwakemi Joann Iyamah
- Shakeem Iyamah
- Eileen M. Jett
- John Booth
- Shanita Shantay Johnson
- Jon S. Tompkins, D.O.
- Reagan Lindsey Jones
All providers in Mount Pleasant, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2018. 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.