Joey Shane Adams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Miami, OK
NPI 1811241755 · NPPES record last updated Mar 14, 2018
Key facts
- NPI
- 1811241755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2012037459 (MO)
- Practice address
- 200 2ND Ave SW
Miami, OK 74354-6830 - Phone
- (918) 540-7520
- Fax
- (918) 540-7533
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Kentucky II, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Joplin Ambulatory Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2012037459 | MO | Yes |
Addresses
Primary practice location
200 2ND Ave SW
Miami, OK 74354-6830
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (918) 540-7520
Other practice location 1
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 781-2727
Other providers in Miami, OK
- Carol Abernathy
- Dusti Cheyenne Absher
- Rusty James Adams
- Justin Addis
- Jenny Allen
- Michael Shane Allen
- Alliance Mental Health - Colorado LLC
All providers in Miami, 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 Mar 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.