Murfreesboro Anesthesia Group, P.a.
Organization Active NPI Anesthesiology Physician · Murfreesboro, TN
NPI 1912959867 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1912959867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- MURFREESBORO ANESTHESIA GROUP, P.A.
- Practice address
- 1800 Medical Center Pkwy
Suite 330
Murfreesboro, TN 37129-2567 - Phone
- (615) 410-7873
- Fax
- (615) 410-7905
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth F Caissie, MD
- Title
- President
- Phone
- (615) 410-7873
Practitioners 94
-
Olivia D Barnes, CRNA
-
Tamatha Ann Bobo, CRNA
-
John Matthew Bratcher, CRNA
-
Amelia Lee Burrows, CRNA
-
Letha Calvin, CRNA
-
Steffanie Campbell, CRNA
-
Joseph C Carter, CRNA
-
Elizabeth Rohr Chandler, CRNA, MS, APN
-
Patrick W. Clark, M.D.
-
Matthew Denney, CRNA
-
Kelli Dowd, CRNA
-
Dustin Fink, CRNA
-
Sara Grace Fleming, CRNA
-
Justin Freeney, MD
-
Erika M Gilbert, CRNA
-
Destin Goins, CRNA
-
Kyle Green, CRNA
-
Chad R Greene, D.O.
-
Thomas L Hardy, M.D.
-
Brooke Logan Harris, CRNA
-
Erin Nicole Harrison, CRNA
-
Ethel Frances Hixson, CRNA
-
Lindsey Hysmith, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312001032 | TN | Part B Supplier - Clinic/Group Practice | 9335038868 |
Receives reassigned benefits from 71 practitioners Practice locations: Murfreesboro, TN |
National Provider Directory
Locations
1800 Medical Center Pkwy
Ste 330
Murfreesboro, TN 37129
Phone (615) 396-4464
2658 New Salem Hwy
Ste A11
Murfreesboro, TN 37128
Phone (615) 867-8001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1800 Medical Center Pkwy
Suite 330
Murfreesboro, TN 37129-2567
Mailing address
PO Box 1252
Murfreesboro, TN 37133-1252
Phone (615) 396-4464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3371455 | Medicaid | TN |
Other providers in Murfreesboro, TN
- Grace Henry Mullins
- Sara Muncher
- Murfree Physician Services PC
- John Phillips Murfree
- Murfreesboro Acupuncture and Massage
- Murfreesboro Audiology Clinic
- Murfreesboro City Schools
- Murfreesboro Convalescent Service
- Murfreesboro Dental Excellence
- Murfreesboro Dental Excellence North PC
All providers in Murfreesboro, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.