Individual provider Active NPI

David Tarabocchia, CRNA

  • Certified Registered Nurse Anesthetist
  • Odessa, TX
National Provider Identifier
1699767145
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
673123 Issued in TX
Practice address
520 E 6TH St
Odessa, TX 79761-4527
Phone
(432) 334-8088
Fax
(432) 580-7202
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 673123 TX Primary

Addresses

Primary practice location

520 E 6TH St
Odessa, TX 79761-4527

Mailing address

PO Box 1226
Odessa, TX 79760-1226
Phone (432) 334-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000122 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143363374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conroe Ambulatory Anesthesia PAGroup PAC ID 0749464469, 7 clinicians

Practice addresses (Care Compare)

1020 Riverwood CT
Conroe, TX 77304-2972
Phone (936) 703-5086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2019 Accepting new patients
Conroe Ambulatory Anesthesia PA CurrentSince Mar 17, 2021 Accepting new patients
Martin County Hospital District CurrentSince Apr 1, 2016 Accepting new patients
Martin County Hospital District CurrentSince Apr 1, 2016 Accepting new patients
Anesthesia Associates of Dunedin Past Accepting new patients

Locations

4019 I 45 N
#150N
Conroe, TX 77304
Phone (936) 641-8181

1020 Riverwood Ct
#200N
Conroe, TX 77304
Phone (936) 703-5086

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

133 Medical Park Ln
Huntsville, TX 77340
Phone (936) 730-8833

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1699767145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797601226",
            "telephone_number": "432-334-8088",
            "fax_number": "432-580-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-334-8088",
            "fax_number": "432-580-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABOCCHIA",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "673123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.

Verify at the official NPI Registry.