Gordon H. Lucas, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

29790 Issued in MT

Practice address

90 Highway 91 South
Dillon, MT 59725-3516

Phone

(406) 683-3000

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Bohannon Creek Enterprises, Inc.

  • Certified Registered Nurse Anesthetist
  • Dillon, MT
  • NPI 1184640104

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Trucker Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Dillon, MT
  • NPI 1598780207

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Madison Anesthesia Services PA

  • Certified Registered Nurse Anesthetist
  • Rexburg, ID
  • NPI 1558392571

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629093851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34940",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241940",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HIGHWAY 91 SOUTH",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253516",
            "telephone_number": "406-683-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "GORDON",
        "middle_name": "H.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "29790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302037",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sanford Lifson, M.D.
• Barry F. Lochridge, D.C.
• Anna Sirina Loge, MD
• Ronald V Loge, M.D.
• Lovell Mental Health
• John S Madany, M.D.
• Elise Maggio, LCPC
• Krista Maness, LCPC
• Taylor Martello, LCPC
• Kathleen S Maunu, RN, CRNA

• Certified Registered Nurse Anesthetist in Dillon, MT
• Providers in Dillon, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.