Individual provider Active NPI

Cory M. McDonald, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1982931226
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP118628 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 921-3431
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 AP118628 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1613 Harrison Pkwy
Suite D1
Sunrise, FL 33323-2896
Phone (954) 838-2371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000725 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385788090 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Anesthesia Partners, PLLCGroup PAC ID 3870879828, 27 clinicians
Afterglow Anesthesia PLLCGroup PAC ID 8022543370, 64 clinicians

Practice addresses (Care Compare)

1403 Dartmouth Dr
Southlake, TX 76092-7104
Phone (817) 917-9582

2850 State Hwy 114 E
Baylor Medical Center
Trophy Club, TX 76262-5302
Phone (817) 837-4600

8350 Dallas Pkwy
Suite 100
Frisco, TX 75034-5076
Phone (469) 287-8500

Hospital & facility affiliations

  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC CurrentSince Feb 1, 2022 Accepting new patients
Spine Team Texas PA CurrentSince Jul 1, 2018 Accepting new patients
Spine Team Texas, PA CurrentSince Jul 1, 2018 Accepting new patients
Synapse Anesthesia Services PLLC CurrentSince Jan 1, 2024 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince May 1, 2017 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2015 Accepting new patients
Anesthesia of North Texas, PA Nurse Anesthetist, Certified Registered PastSince Feb 26, 2008 Accepting new patients
Matt T. Gubert, PA PastSince Mar 3, 2024 Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1001 12th Ave
Ste 170
Ft Worth, TX 76104
Phone (817) 810-0500

3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 502-7300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

781 Lonesome Dove Trl
Ste A
Hurst, TX 76054
Phone (817) 479-7280

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1982931226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE D1",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-921-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CORY",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP118628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.