Active NPI
John Michael Duke, CRNA
- Certified Registered Nurse Anesthetist
- Mesquite, TX
National Provider Identifier
1902895618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 228869
- Practice address
- 109 Toler Dr
Mesquite, TX 75149-5866 - Phone
- (972) 897-7099
- NPI assigned
- Oct 14, 2005
- 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 | 228869 | TX | Primary |
Addresses
Primary practice location
109 Toler Dr
Mesquite, TX 75149-5866
Mailing address
109 Toler Dr
Mesquite, TX 75149-5866
Phone (972) 897-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31992 | Other | NATIONAL BOARD CRNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31922 | TX | MD | Pharmacist |
| 228869 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Consultants of Fredericksburg | Past | Accepting new patients | |
| Cole Physical Therapy Inc | Past | Accepting new patients | |
| North Texas Anesthesiology,PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Mesquite, TX
- NPI 1225223605
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fredericksburg, TX
- NPI 1356318513
-
- Physical Therapy Clinic/Center
- Fredericksburg, TX
- NPI 1255342093
-
- Specialist
- Denison, TX
- NPI 1003920828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1902895618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TOLER DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495866",
"telephone_number": "972-897-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TOLER DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495866",
"telephone_number": "972-897-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "228869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD CRNA",
"identifier": "31992",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.