Active NPI
Jonathan Bomar, APRN-CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89766
- Practice address
- 6839 S Canton Ave
918-481-5170
Tulsa, OK 74136-3402 - Phone
- (918) 494-0612
- Fax
- (918) 481-5170
- NPI assigned
- Jul 17, 2014
- 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 | 89766 | OK | Primary |
Addresses
Primary practice location
6839 S Canton Ave
918-481-5170
Tulsa, OK 74136-3402
Mailing address
5515 E 48TH E PL
Tulsa, OK 74135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000
1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000
8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000
Hospital & facility affiliations
- Hillcrest Hospital South
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Langley Holdings, LLC | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Tulsa Anesthesia LLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565
9840 E 81st St
Ste 200
Tulsa, OK 74133
Phone (918) 872-8447
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1104286640
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1770891475
-
- Ambulatory Surgical Clinic/Center
- Tulsa, OK
- NPI 1225497019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1841607264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 E 48TH E PL",
"city": "TULSA",
"state": "OK",
"postal_code": "74135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"address_2": "918-481-5170",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMAR",
"first_name": "JONATHAN",
"credential": "APRN-CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "89766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.