Active NPI
Charles David O'Con, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN094033
- Practice address
- 510 E Stoner Ave
Shreveport, LA 71101-4243 - Phone
- (318) 841-4767
- NPI assigned
- Aug 31, 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 | RN094033 | LA | Primary |
Addresses
Primary practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
9670 Calliope LN
Shreveport, LA 71115-4600
Phone (318) 798-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4200
Hospital & facility affiliations
- Natchitoches Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchitoches Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients | |
| Twin City Anesthesia | Past | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Red River Anesthesia of Alexandria, LLC | Past | Accepting new patients |
Locations
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Natchitoches, LA
- NPI 1992827182
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205135902
-
- Specialist
- West Monroe, LA
- NPI 1427080480
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Campti, LA
- NPI 1093933897
Hospital
-
- Obstetrics & Gynecology Physician
- Natchitoches, LA
- NPI 1568897692
Hospital
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1639243967
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1689676835
-
- Clinic/Center
- Natchitoches, LA
- NPI 1821414897
Hospital
-
- Radiation Oncology Physician
- Natchitoches, LA
- NPI 1972171072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649382201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9670 CALLIOPE LN",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711154600",
"telephone_number": "318-798-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-841-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CON",
"first_name": "CHARLES",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN094033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
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.