Active NPI
Dean R Loss, CRNA
- Certified Registered Nurse Anesthetist
- Augusta, GA
National Provider Identifier
1730179920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN108812
- Practice address
- 3651 Wheeler Rd
Augusta, GA 30909-6521 - Phone
- (706) 855-9860
- Fax
- (706) 860-7124
- NPI assigned
- Oct 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN108812 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | APN1388 | SC |
Addresses
Primary practice location
3651 Wheeler Rd
Augusta, GA 30909-6521
Mailing address
PO Box 204097
Augusta, GA 30907
Phone (706) 855-9860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1388 | SC | MD | Optometrist |
| RN108812 | GA | MD | Certified Registered Nurse Anesthetist |
| APN1388 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1730179920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204097",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-855-9860",
"fax_number": "706-860-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096521",
"telephone_number": "706-855-9860",
"fax_number": "706-860-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSS",
"first_name": "DEAN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN108812",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN1388",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.