Individual provider Active NPI

Dustin J Smitherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
National Provider Identifier
1831635762
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-135503 Issued in AL
Practice address
6801 Airport Blvd
Anesthesia Department
Mobile, AL 36608-3709
Phone
(251) 656-1110
NPI assigned
Jan 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-135503 AL Primary

Addresses

Primary practice location

6801 Airport Blvd
Anesthesia Department
Mobile, AL 36608-3709

Mailing address

8846 Pine Run
Daphne, AL 36527-8636
Phone (251) 656-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000661 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163705096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians

Practice addresses (Care Compare)

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Apr 12, 2022 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Blue Lake Health Springhill, LLC CurrentSince May 17, 2022 Accepting new patients
Providence Hospital CurrentSince Jan 1, 2017 Accepting new patients
Anesthesiologists Associated PC CurrentSince Apr 12, 2022 Accepting new patients
Providence Hospital Current Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1831635762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8846 PINE RUN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365278636",
            "telephone_number": "251-656-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-656-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERMAN",
        "first_name": "DUSTIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-135503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.

Verify at the official NPI Registry.