Earl R Metcalf, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

064034 Issued in MO

Practice address

1429 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(573) 335-9175

Fax

(573) 334-3390

NPI assigned

Aug 28, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1952419129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10499 COUNTY ROAD 605",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638418501",
            "telephone_number": "573-624-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-335-9175",
            "fax_number": "573-334-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "EARL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "064034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "104407",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "248460",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "112188",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00181240",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Melton
• Savannah Laine Menard
• Jessica Erin Mercer, SMA-00106
• Mercy Pharmacy Services, LLC (Mercy Pharmacy - S Mount Auburn)
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Broadway)
• Tatyana Igorevna Metelitsina, M.D.
• Allison Brooke Metje, AGACNP-BC
• Metro Treatment of Missouri LP (Cape Girardeau Metro Treatment)
• Jacob Meyer
• Roy Phillip Meyer, DC

• Certified Registered Nurse Anesthetist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.