Active NPI
Michael G Hebert, CRNA
- Certified Registered Nurse Anesthetist
- Silverton, OR
National Provider Identifier
1821039157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 342 Fairview St
Silverton, OR 97381 - Phone
- (503) 873-1500
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | OR | Primary |
Addresses
Primary practice location
342 Fairview St
Silverton, OR 97381
Mailing address
5319 SW Westgate Dr
#241
Portland, OR 97221-2432
Phone (503) 297-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010186 | Medicaid | OR |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000171 | CA | MD | Family Nurse Practitioner |
| 080038675 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Relief LLC | 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.
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- Kealakekua, HI
- NPI 1639176381
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1821039157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 SW WESTGATE DR",
"address_2": "#241",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212432",
"telephone_number": "503-297-7233",
"fax_number": "503-297-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "97381",
"telephone_number": "503-873-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010186",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.