Active NPI
Randy McGinnis, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Rockdale, TX
National Provider Identifier
1669415006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 543563
- Practice address
- 1700 Brazos Ave
Rockdale, TX 76567-2517 - Phone
- (512) 446-4500
- Fax
- (512) 430-6494
- NPI assigned
- Jun 14, 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 | 543563 | TX | Primary |
Addresses
Primary practice location
1700 Brazos Ave
Rockdale, TX 76567-2517
Mailing address
9502 Castlewood Dr
Austin, TX 78748-6109
Phone (512) 280-3498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 543563 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babcock Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lorraine a Fox, Crna, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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
- La Grange, TX
- NPI 1184719650
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Round Rock, TX
- NPI 1215138797
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669415006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9502 CASTLEWOOD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486109",
"telephone_number": "512-280-3498",
"fax_number": "512-940-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BRAZOS AVE",
"city": "ROCKDALE",
"state": "TX",
"postal_code": "765672517",
"telephone_number": "512-446-4500",
"fax_number": "512-430-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "RANDY",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "543563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockdale, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.