Active NPI
Glenn Lefor, CRNA
- Certified Registered Nurse Anesthetist
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R31505
- Practice address
- 30 7TH St W
Dickinson, ND 58601-4335 - Phone
- (701) 456-4000
- Fax
- (701) 456-4800
- NPI assigned
- Jul 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R31505 | ND | Primary |
Addresses
Primary practice location
30 7TH St W
Dickinson, ND 58601-4335
Mailing address
30 7TH St W
Dickinson, ND 58601-4335
Phone (701) 456-4000
Other names 1
- Glenn Lefor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060207000118 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012922412 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph'S Hospital and Health Center
Practice addresses (Care Compare)
2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000
95 NW 2ND St
Beach, ND 58621
Phone (701) 872-3777
Hospital & facility affiliations
- CHI St Alexius Health Dickinson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R31505 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients |
Locations
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
30 7th St W
Dickinson, ND 58601
Phone (701) 264-4000
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
4784 Amber Valley Pkwy S
Fargo, ND 58104
1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
- Rural Acute Care Hospital
- Dickinson, ND
- NPI 1508896861
-
- Physical Therapy Clinic/Center
- Mott, ND
- NPI 1902526411
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619991973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 7TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014335",
"telephone_number": "701-456-4000",
"fax_number": "701-456-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 7TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014335",
"telephone_number": "701-456-4000",
"fax_number": "701-456-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFOR",
"first_name": "GLENN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R31505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLENN",
"last_name": "LEFOR",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.