Active NPI
Thomas J Giannaccini III, CRNA
- Certified Registered Nurse Anesthetist
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9455337
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-9582
- NPI assigned
- Jan 20, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704357139 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9455337 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 675906 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA193038 | ME |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7222
Other practice location 2
133 Park St
Malone, NY 12953-1243
Phone (518) 483-3000
Other practice location 3
10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-5081
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100795 | Other | CRNA CERT | |
| APRN9455337 | Other | FL | FL LICENSE. COMPACT STATE WITH WISCONSIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NE, FL, TX, MI, KY, ND, OR, ME, IN, VA, WV, MD, OK
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9455337 | FL | MD | Certified Registered Nurse Anesthetist |
| RNA193038 | ME | MD | Certified Registered Nurse Anesthetist |
| 4704357139 | MI | MD | Certified Registered Nurse Anesthetist |
| 675906 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Valley Anesthesia PC | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Community Medical Center, Inc. | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson Anesthesiologist Services PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| North Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bay Area Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mount Desert Island Hospital | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Coal Country Community Health Center | Past | Accepting new patients |
Locations (25 of 30)
Dept LA 25339
Pasadena, CA 91185
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
2000 E Lamar Blvd
Ste 430
Arlington, TX 76006
Phone (239) 321-5029
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 30
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.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Falls City, NE
- NPI 1881643484
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Watertown, NY
- NPI 1508818014
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1346236866
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1861814238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-539-9582"
}
],
"practiceLocations": [
{
"address_1": "744 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013505",
"country_code": "US",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531243",
"country_code": "US",
"telephone_number": "518-483-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Wayman Ln",
"address_purpose": "LOCATION",
"city": "Bar Harbor",
"state": "ME",
"postal_code": "046091625",
"country_code": "US",
"telephone_number": "207-288-5081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIANNACCINI",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704357139",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9455337",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "675906",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA193038",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA CERT",
"identifier": "100795",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE. COMPACT STATE WITH WISCONSIN",
"identifier": "APRN9455337",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.