Active NPI
Robert E Gramling III, CRNA
- Certified Registered Nurse Anesthetist
- Meridian, MS
National Provider Identifier
1891950283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R862292
- Practice address
- 1926 23Rd Ave
East Mississippi Endoscopy Center
Meridian, MS 39301-3107 - Phone
- (601) 485-1131
- NPI assigned
- Jul 24, 2008
- 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 | R862292 | MS | Primary |
Addresses
Primary practice location
1926 23Rd Ave
East Mississippi Endoscopy Center
Meridian, MS 39301-3107
Mailing address
101 Greenbriar St
Starkville, MS 39759-4302
Phone (601) 408-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boa Vida Hospital of Aberdeen Ms LLC
Practice addresses (Care Compare)
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
40128 Hamilton Rd
Hamilton, MS 39746
Phone (662) 343-5129
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.
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
-
- Multi-Specialty Clinic/Center
- Aberdeen, MS
- NPI 1710405741
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1124415567
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Rural Health Clinic/Center
- Aberdeen, MS
- NPI 1245757301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1891950283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREENBRIAR ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397594302",
"telephone_number": "601-408-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 23RD AVE",
"address_2": "EAST MISSISSIPPI ENDOSCOPY CENTER",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393013107",
"telephone_number": "601-485-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMLING",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R862292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.