Jarod Michael Medved, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Oklahoma City, OK
NPI 1740959394 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1740959394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 205378 (OK)
- Practice address
- 3100 SW 89TH St
Oklahoma City, OK 73159-7900 - Phone
- (405) 602-8100
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hpi Physicians LLC
Practice addresses (Care Compare)
14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 242-2713
Hospital & facility affiliations
- Community Hospital, LLC
- Northwest Surgical Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211007000252 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173921079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpi Physicians LLC | Current |
Accepting new patients |
Locations
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 205378 | OK | Yes |
Addresses
Primary practice location
3100 SW 89TH St
Oklahoma City, OK 73159-7900
Mailing address
9625 Rhythm Rd
Midwest City, OK 73130-6411
Phone (405) 833-8827
Other practice location 1
9800 Broadway Ext
Oklahoma City, OK 73114-6303
Phone (405) 419-2980
Other providers in Oklahoma City, OK
- Erin Kathleen Medlin
- Medok South May LLC
- Katerin Medrano
- Medride Corporation
- Medvan, Inc.
- Judith A Mee
- Madeline Mee
- Logan Meek
- Tara Kathleen Meek
- Carlotta Meeker
All providers in Oklahoma City, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.