Active NPI
Sara L O'Connor, CRNA
- Certified Registered Nurse Anesthetist
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP139239
- Practice address
- 2704 N Galloway Ave Ste 102
Mesquite, TX 75150-6379 - Phone
- (972) 961-7171
- Fax
- (636) 537-0480
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- 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 | AP139239 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 094025 | MO |
Addresses
Primary practice location
2704 N Galloway Ave Ste 102
Mesquite, TX 75150-6379
Mailing address
PO Box 224047
Dallas, TX 75222-4047
Phone (844) 565-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912804358 | Medicaid | MO |
Other names 1
- Ms. Sara L Grzeskowiak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11525 Olde Cabin Rd
Suite 101
Creve Coeur, MO 63141-7146
Phone (314) 400-9999
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.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139239 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive Health Specialists, LLC | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Robert H and Teresita S Petty | Past | Accepting new patients |
Locations
3800 S Whitney Ave
Ste 100
Independence, MO 64055
11525 Olde Cabin Rd
Saint Louis, MO 63141
Phone (314) 997-0554
11525 Olde Cabin Rd
Ste 101
Saint Louis, MO 63141
Phone (314) 400-9999
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
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.
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mesquite, TX
- NPI 1447792700
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Effingham, IL
- NPI 1306913868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1831190073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224047",
"city": "DALLAS",
"state": "TX",
"postal_code": "752224047",
"telephone_number": "844-565-6466",
"fax_number": "302-709-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N GALLOWAY AVE STE 102",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506379",
"telephone_number": "972-961-7171",
"fax_number": "636-537-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "SARA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP139239",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "094025",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "912804358",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "GRZESKOWIAK",
"middle_name": "L",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.