Myron Dean Kirkwood, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

091006974 Issued in OR

Practice address

14525 SW Millikan Way # 9658
Beaverton, OR 97005-2343

Phone

(503) 507-3117

Fax

(866) 336-9931

NPI assigned

Mar 31, 2006

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesiology Consultants of the Palm Beaches PA

  • Anesthesiology Physician
  • Wellington, FL
  • NPI 1720013287
  NPD
• Metropolitan Anesthesia LLC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1720387954

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Care for Kids of Arizona

  dba A Tooth Doctor for Kids-East

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
  • NPI 1689715799
  NPD (past)
• New Mexico Anesthesia Specialists LLC

  • Certified Registered Nurse Anesthetist
  • Alamogordo, NM
  • NPI 1629390083

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Professional Lone Star Anesthesia Associates, P

  • Certified Registered Nurse Anesthetist
  • Ennis, TX
  • NPI 1215087804

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Providence Wa Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Everett, WA
  • NPI 1669615894
  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  • Clinical Medical Laboratory
  • Lubbock, TX
  • NPI 1154370443
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc - Crna

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
  • NPI 1184673469

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC-Allergy

  • Allergy & Immunology Physician
  • Lubbock, TX
  • NPI 1225086820
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC - Anesthesiology

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1306894175
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1891756656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 SW MILLIKAN WAY # 9658",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052343",
            "telephone_number": "503-507-3117",
            "fax_number": "866-336-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 SW MILLIKAN WAY # 9658",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052343",
            "telephone_number": "503-507-3117",
            "fax_number": "866-336-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "MYRON",
        "middle_name": "DEAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "091006974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO",
            "identifier": "840229000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Kirchem, RDH
• Mary Kathryn Kirchoff
• Janet Lynn Kirkland, PH.D.
• William Dean Kirkland, DDS
• Katherine Armstrong Kirkwood, PT, DPT
• Janie Kiyokawa, MA
• Amber Klarfeld
• Erik Cooper Klee
• Marylyn R. Klesh, PMHNP
• Matthew Michael Klinewski, FNP

• Certified Registered Nurse Anesthetist in Beaverton, OR
• Providers in Beaverton, 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 Feb 2, 2010; 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.