David R Whitehead, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R113988 Issued in OK

Practice address

105 Wall St
Poteau, OK 74953-4433

Phone

(918) 635-3566

Fax

(918) 635-3309

NPI assigned

Jul 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MS, AR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Anesthesia Services LLCGroup PAC ID 9234279183, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Willow Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
  • NPI 1205169521

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Dream Team Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1215629464

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Protection Anesthesia Services PA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1457001109

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Renew Medical Group of Arkansas LTD

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1215755947

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Monroe Health Services, Inc.

  • Surgery Physician
  • Amory, MS
  • NPI 1386433860
  NPD
• Monroe Health Services, Inc.

  • Anesthesiology Physician
  • Amory, MS
  • NPI 1619559309
  NPD
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1982992996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531148",
            "telephone_number": "918-635-3566",
            "fax_number": "918-635-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WALL ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534433",
            "telephone_number": "918-635-3566",
            "fax_number": "918-635-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R871679",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R113988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9957742",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01009724",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200499820B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08277891",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia White
• Jonathan Blake White
• Kelsey White
• Leslie D. White, M.ED.
• Tori Lynn White, M.ED. LPC
• Wilbur Whitmore
• Brittany Aline Whitworth
• Stephanie Wiles
• Kaila Willet
• Christopher Ray Williams, M.S. PSYCHOLOGY

• Certified Registered Nurse Anesthetist in Poteau, OK
• Providers in Poteau, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.