Individual provider Active NPI

Okechukwu C Gubor, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1952076663
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
29211992A Issued in IN
Practice address
110 29TH Ave N Ste 201
Nashville, TN 37203-1458
Phone
(615) 327-4304
NPI assigned
Aug 13, 2021
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 29211992A IN Primary

Addresses

Primary practice location

110 29TH Ave N Ste 201
Nashville, TN 37203-1458

Mailing address

2630 Elm Hill Pike Ste 350
Nashville, TN 37214-3176
Phone (615) 425-4397

Other practice location 1

1185 N 1000 W
Linton, IN 47441-5282
Phone (812) 847-2281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512002431 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446637458 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Indiana Anesthesia Solutions LLCGroup PAC ID 0345614509, 16 clinicians
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948
Phone (317) 718-4740

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7604

3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 232-0021

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29211992AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County General Hospital Nurse Anesthetist, Certified Registered Current Accepting new patients
Hendricks County Hospital CurrentSince Oct 9, 2023 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 20, 2023 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 20, 2023 Accepting new patients
Amsurg Indianapolis Anesthesia LLC CurrentSince Jul 22, 2022 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Oct 9, 2023 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Greene County General Hospital Nurse Anesthetist, Certified Registered CurrentSince May 9, 2022 Accepting new patients
Indiana Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2023 Accepting new patients
Aaa Anesthesia Associates LLC Nurse Anesthetist, Certified Registered PastSince Aug 15, 2021 Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

8057 Collection Ctr Dr
Chicago, IL 60693

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

11650 Olio Rd
Ste 1000389
Fishers, IN 46037
Phone (317) 250-7508

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

8424 Naab Rd
Indianapolis, IN 46260
Phone (317) 871-7308

8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1952076663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 ELM HILL PIKE STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143176",
            "telephone_number": "615-425-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031458",
            "telephone_number": "615-327-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474415282",
            "country_code": "US",
            "telephone_number": "812-847-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUBOR",
        "first_name": "OKECHUKWU",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "29211992A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.