Jeffrey Lockwood, RN/CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

081046589 Issued in OR

Practice address

1330 Commercial St SE
Salem, OR 97302-4206

Phone

(503) 763-1973

Fax

(503) 763-8886

NPI assigned

Jul 17, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albany Anesthesia PC

  • Pain Medicine (Anesthesiology) Physician
  • Albany, OR
  • NPI 1710046461
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1861410078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 ELK RUN DR SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213731",
            "telephone_number": "541-924-2815",
            "fax_number": "541-924-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024206",
            "telephone_number": "503-763-1973",
            "fax_number": "503-763-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "JEFFREY",
        "credential": "RN/CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "081046589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262825",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "048475",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00225831",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN/CRNA",
            "identifier": "081046589",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Loch, RD, LD
• Kelsey Locken, PA-C, RT(R)
• Toni Lynn Locker, MSW, LCSW
• Lacey Beth Lockhart
• Locklab Provider Group, LLC
• Holly Loescher, HAS-P, COHC
• Ian Loewen-Thomas, M.D.
• David T Loewen
• Ward Aaron Lofgren, MS, LPC, CADCI
• Jamalia Loftin P Loftin

• Certified Registered Nurse Anesthetist in Salem, OR
• Providers in Salem, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.