Timothy Huffman, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · La Grange, TX
NPI 1861464232 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1861464232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 673986 (TX)
- Practice address
- 1 St Marks PL
La Grange, TX 78945 - Phone
- (979) 242-2200
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Carolina Sedation Associates, LLC
Practice addresses (Care Compare)
415 N Ctr St
Suite 300
Hickory, NC 28601-5036
Phone (828) 328-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040608000220 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597748046 | |
| I20231004000680 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597748046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7152 | NC | MD | Counselor |
| 673986 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southeast Texas Freelance Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Babcock Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Colorado Valley Anesthesia, LLP | Past | Accepting new patients |
Locations
415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 7152 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 673986 | TX | Yes |
Addresses
Primary practice location
1 St Marks PL
La Grange, TX 78945
Mailing address
PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700
Other providers in La Grange, TX
- Angela Roshawn Henry
- Karen Ann Henson
- Daphne L. Hilgers
- Kassidy Rae Huelsebusch
- Lauren Johanna Huenefeld
- Laurel L. Humphrey
- Integrated Management Solutions, Inc
- Paras Rajesh Jain
- Shandell Marie Jakobeit
- James-Leach, Inc.
All providers in La Grange, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.