Active NPI
Charles R. Lowrance, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
National Provider Identifier
1821097007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 228195
- Practice address
- 1424 East Front
Tyler, TX 75702 - Phone
- (903) 595-4144
- Fax
- (903) 596-7541
- NPI assigned
- Jul 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 228195 | TX | Primary |
Addresses
Primary practice location
1424 East Front
Tyler, TX 75702
Mailing address
PO Box 130639
Tyler, TX 75713
Phone (903) 595-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84114C | Other | TX | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228195 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Medical Center | Past | Accepting new patients | |
| Turtle Creek Surgery Center LLC | Past | Accepting new patients | |
| Presbyterian Hospital of Dallas | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| East Texas Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Horizon Anesthesia Associates PA | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1497804371
Nurse Anesthetist, Certified Registered
-
- Land Ambulance
- Bellmead, TX
- NPI 1568964518
-
- Anesthesiology Physician
- Longview, TX
- NPI 1811982481
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1750335618
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1699819979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1821097007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130639",
"city": "TYLER",
"state": "TX",
"postal_code": "75713",
"telephone_number": "903-595-4144",
"fax_number": "903-596-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 EAST FRONT",
"city": "TYLER",
"state": "TX",
"postal_code": "75702",
"telephone_number": "903-595-4144",
"fax_number": "903-596-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRANCE",
"first_name": "CHARLES",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "228195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84114C",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.