Orlando Andrae Ancheta, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ooltewah, TN
NPI 1992058697 · NPPES record last updated Feb 1, 2017
Key facts
- NPI
- 1992058697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 90836 (TN)
- Practice address
- 5673 Tucker Rd
Ooltewah, TN 37363-8107 - Phone
- (423) 355-7110
- NPI assigned
- Oct 18, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Anesthesiology of Tennessee PC
Practice addresses (Care Compare)
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040
9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040
Hospital & facility affiliations
- Parkridge Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502000997 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810140134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90836 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Current |
Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 90836 | TN | Yes |
Addresses
Primary practice location
5673 Tucker Rd
Ooltewah, TN 37363-8107
Mailing address
410 N Cedar Bluff Rd
Ste 300
Knoxville, TN 37923-3632
Phone (865) 342-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q019392 | Medicaid | TN |
Other providers in Ooltewah, TN
- Christina Mellert Aguila
- Jacob Alexander
- Katherine Allen
- Alliance PT Partners
- Sheryl Mills Ammons
- Tarah Lynn Anderson
- Jumescia Andrews
- Angelica Family Wellness PC
- Jessica Erin Anglin
- Leigh Anthony
All providers in Ooltewah, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.