Active NPI
Joseph Robert Pastore, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0105824
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-0612
- NPI assigned
- May 23, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0105824 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN402525 | OH |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other practice location 1
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | CAQH | |
| PENDING | Medicaid | OH | |
| PENDING | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN402525 | OH | MD | Certified Registered Nurse Anesthetist |
| R0105824 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Melius Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Penn-Ohio Associates in Anesthesiology, LLC | Past | Accepting new patients |
Locations
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
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.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1891733598
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1588186720
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sharon, PA
- NPI 1184874869
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1932636842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-0612"
}
],
"practiceLocations": [
{
"address_1": "1044 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041006",
"country_code": "US",
"telephone_number": "330-480-3658",
"fax_number": "330-480-3439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASTORE",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0105824",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN402525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "PENDING",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PENDING",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.