Active NPI
Regional Anesthesia SVS LC
- Certified Registered Nurse Anesthetist
- Poteau, OK
National Provider Identifier
1609959808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 23472
- Legal business name
- REGIONAL ANESTHESIA SVS LC
- Practice address
- 105 Wall St
Poteau, OK 74953-4433 - Phone
- (918) 649-3426
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip Streetman, CRNA
- Title
- Owner
- Phone
- (918) 649-3426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 23472 | OK | Primary |
Addresses
Primary practice location
105 Wall St
Poteau, OK 74953-4433
Mailing address
PO Box 727
Poteau, OK 74953-0727
Phone (918) 649-3426
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363399510002 | Other | OK | OK BLUE CROSS BLUE SHILED |
| 74953A001 | Other | OK | CHAMPUS |
| 445484005001 | Other | OK | OK BLUE CROSS BLUE SHILED |
| 91578 | Other | AR | ARK BLUE CROSS BLUE SHILE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Ada, OK
- NPI 1861438012
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1609959808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "POTEAU",
"state": "OK",
"postal_code": "749530727",
"telephone_number": "918-649-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WALL ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749534433",
"telephone_number": "918-649-3426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL ANESTHESIA SVS LC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "STREETMAN",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-649-3426",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "23472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BLUE CROSS BLUE SHILED",
"identifier": "363399510002",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "74953A001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BLUE CROSS BLUE SHILED",
"identifier": "445484005001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK BLUE CROSS BLUE SHILE",
"identifier": "91578",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.