Active NPI
Thomas V Skeen, CRNA
- Certified Registered Nurse Anesthetist
- Rushville, IN
National Provider Identifier
1922052349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28055891A
- Practice address
- 1300 N Main St
Rushville, IN 46173-1116 - Phone
- (765) 932-7520
- Fax
- (765) 932-7505
- NPI assigned
- May 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 28055891A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 28055891A | IN | Primary |
Addresses
Primary practice location
1300 N Main St
Rushville, IN 46173-1116
Mailing address
PO Box 608
Rushville, IN 46173-0608
Phone (765) 932-7520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200063800A | Medicaid | IN | |
| 000000818891 | Other | IN | ANTHEM BCBS |
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 |
|---|---|---|---|
| 28055891A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1922052349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461730608",
"telephone_number": "765-932-7520",
"fax_number": "765-932-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N MAIN ST",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461731116",
"telephone_number": "765-932-7520",
"fax_number": "765-932-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKEEN",
"first_name": "THOMAS",
"middle_name": "V",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "28055891A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28055891A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200063800A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000818891",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rushville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.