Individual provider Active NPI

Michael J Sarwinski, CRNA

  • Certified Registered Nurse Anesthetist
  • Grove, OK
National Provider Identifier
1730109810
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0082027 Issued in OK
Practice address
1310 S Main St
Grove, OK 74344-5304
Phone
(918) 786-2243
Fax
(918) 787-6052
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 R0082027 OK Primary

Addresses

Primary practice location

1310 S Main St
Grove, OK 74344-5304

Mailing address

PO Box 451735
Grove, OK 74345-1735
Phone (918) 787-8980

Other practice location 1

200 2nd Ave SW
Miami, OK 74354-6802
Phone (918) 540-7520

Other identifiers 1

IdentifierTypeStateIssuer
200048370AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050408000028 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517910326 Reassigns benefits to 2 organizations
I20240719000059 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517910326 Reassigns benefits to 2 organizations
I20240719000674 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517910326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four States Anesthesia Services LLCGroup PAC ID 8729973284, 32 clinicians

Practice addresses (Care Compare)

1905 W 32ND St
Suite 201
Joplin, MO 64804-1512
Phone (417) 206-7900

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7113

444 Four States Dr
Suite 2
Galena, KS 66739-4325
Phone (620) 783-4000

Hospital & facility affiliations

  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113
  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
  • Integris Miami Hospital Hospital, Miami, OK, CCN 370004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0082027OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Jun 24, 2024 Accepting new patients
Anesthesia Associates of Grand Lake CurrentSince Nov 1, 2009 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Oct 11, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jun 24, 2024 Accepting new patients
Mercy Hospital Carthage CurrentSince Jun 24, 2024 Accepting new patients

Locations

444 Four States Dr
Ste 2
Galena, KS 66739
Phone (620) 783-4000

1619 K66
Galena, KS 66739
Phone (417) 347-7272

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1905 W 32nd St
Ste 201
Joplin, MO 64804
Phone (417) 206-3812

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1730109810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451735",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743451735",
            "telephone_number": "918-787-8980",
            "fax_number": "918-787-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445304",
            "telephone_number": "918-786-2243",
            "fax_number": "918-787-6052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546802",
            "country_code": "US",
            "telephone_number": "918-540-7520",
            "fax_number": "918-540-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARWINSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0082027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200048370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.