Individual provider Active NPI

Jonathon Stanley Scarborough, CRNA

  • Certified Registered Nurse Anesthetist
  • Bridgeport, TX
National Provider Identifier
1710252572
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
733352 Issued in TX
Practice address
1509 Dr. Hospital Drive
Bridgeport, TX 76426
Phone
(940) 683-0300
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 733352 TX Primary

Addresses

Primary practice location

1509 Dr. Hospital Drive
Bridgeport, TX 76426

Mailing address

104 Elm Country Dr
La Vernia, TX 78121-4805
Phone (830) 688-3172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000104 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517100282 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

1600 Central Dr
Suite 300
Bedford, TX 76022-6029
Phone (817) 789-4575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
733352TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Greater Texas Anesthesia Consultants PLLC CurrentSince Feb 1, 2022 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Jan 10, 2018 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2013 Accepting new patients
Texas Anesthesia Partners, PLLC Past Accepting new patients
Matt T. Gubert, PA PastSince Mar 3, 2024 Accepting new patients

Locations

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

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

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7640 NE Loop 820
Ste 96
North Richlnd Hls, TX 76180
Phone (469) 713-3740

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

415 E Southlake Blvd
Ste 202
Southlake, TX 76092
Phone (817) 416-8080

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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

Interoperability endpoints

  • Direct secure messaging: jscarborough@direct.uspi.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1710252572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ELM COUNTRY DR",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781214805",
            "telephone_number": "830-688-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 DR. HOSPITAL DRIVE",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "76426",
            "telephone_number": "940-683-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "JONATHON",
        "middle_name": "STANLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "733352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.