Active NPI
David Tarabocchia, CRNA
- Certified Registered Nurse Anesthetist
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 673123
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Conroe Ambulatory Anesthesia PA | Current | Accepting new patients | |
| Martin County Hospital District | Current | Accepting new patients | |
| Martin County Hospital District | Current | 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
- 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.
-
- Anesthesiology Physician
- Conroe, TX
- NPI 1457482937
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
Nurse Anesthetist, Certified Registered
-
- Pain Management Registered Nurse
- Stanton, TX
- NPI 1477390227
-
- Anesthesiology Physician
- Dunedin, FL
- NPI 1184623522
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.