Active NPI
Anthony G Mugleston, CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041348950
- Practice address
- 2121 Main St
Suite 209
Buffalo, NY 14214-2693 - Phone
- (716) 836-7510
- Fax
- (716) 836-7511
- NPI assigned
- Nov 23, 2010
- Last updated
- Oct 31, 2016
- 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 | 041348950 | IL | Primary |
Addresses
Primary practice location
2121 Main St
Suite 209
Buffalo, NY 14214-2693
Mailing address
406 S 30TH Ave
Ste 202
Yakima, WA 98902-3713
Phone (716) 836-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041348950 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| River City Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Parkside Medical Anesthesia Associates | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1581 E Edmondton Ave
Ste 204
Post Falls, ID 83854
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Post Falls, ID
- NPI 1114908993
Nurse Anesthetist, Certified Registered
-
dba Premier Anesthesia of Richland
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Buffalo, NY
- NPI 1871537464
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1932401098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S 30TH AVE",
"address_2": "STE 202",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023713",
"telephone_number": "716-836-7510",
"fax_number": "716-836-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MAIN ST",
"address_2": "SUITE 209",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142693",
"telephone_number": "716-836-7510",
"fax_number": "716-836-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGLESTON",
"first_name": "ANTHONY",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041348950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.