Heritage Anesthesia PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CO1451 Issued in AR

Legal business name

HERITAGE ANESTHESIA PC

Practice address

3901 W 15TH St
Plano, TX 75075-7738

Phone

(214) 856-5624

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Jean Groff, CRNA

Title

President

Phone

(212) 856-5624

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1639493448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 LINKSVIEW DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702737",
            "telephone_number": "214-856-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "214-856-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-856-5624",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CO1451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184989002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbee Hensley, LPC
• James Joseph Heptig, D.C.
• Herald Rehabilitation, LLC
• Frances B Herbert, M.D.
• Angela Hergenrether
• Heritage Health PTX, PLLC
• Hannah Herman
• Darrell Hermann, M.D.
• Hermitage Care Homes LLC
• Hermitage Healthcare LLC

• Certified Registered Nurse Anesthetist in Plano, TX
• Providers in Plano, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.