Jan Gorman

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C01169 Issued in AR

Practice address

404 S Bradley St
Warren, AR 71671-3459

Phone

(870) 226-4100

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Anesthesia Services, PLCGroup PAC ID 0244335255, 26 clinicians

NLR Gi Anesthesia, LLCGroup PAC ID 6002210846, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• NLR Gi Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
  • NPI 1518536234

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Integrated Anesthesia Services, PLC

  • Certified Registered Nurse Anesthetist
  • Dickson, TN
  • NPI 1194736108

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Arkansas Anesthesia Associates, PLLC.

  • Anesthesiology Physician
  • Benton, AR
  • NPI 1497023360
  Medicare reassignment NPD
• Arkansas Health Group

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment NPD
• ASC Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
  • NPI 1336509819

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Chicot Memorial Medical Center

  • Certified Registered Nurse Anesthetist
  • Lake Village, AR
  • NPI 1457676942

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Willow Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
  • NPI 1205169521

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611
  Medicare reassignment
• Bradley County Medical Center

  • Certified Registered Nurse Anesthetist
  • Warren, AR
  • NPI 1194843730
  Medicare reassignment
• Chicot Memorial Medical Center

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1235453192
  Medicare reassignment
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Endoscopy Center of Arkansas Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1497267702

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699824201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Funderburg, PTA
• Gannaway Drug Store Inc
• Justin G Gates, CRNA
• Ladonna Dichelle George, M.D.
• Lilian A Gilbert
• Russell Neal Gregory, MD
• Jessica Griffin
• Terri L. Grimes, P.T.
• Stephanie M Harper, LAC
• Harton Medical Clinic PLLC PA

• Certified Registered Nurse Anesthetist in Warren, AR
• Providers in Warren, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• 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.

Verify at the official NPI Registry.