Active NPI
Chad Meacham, CRNA
- Certified Registered Nurse Anesthetist
- Russellville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3018783
- Practice address
- 2684 Morgantown Rd
Russellville, KY 42276-8543 - Phone
- (270) 542-9002
- NPI assigned
- Aug 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 3018783 | KY | Primary |
Addresses
Primary practice location
2684 Morgantown Rd
Russellville, KY 42276-8543
Mailing address
2684 Morgantown Rd
Russellville, KY 42276-8543
Phone (270) 542-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 268-1030
Hospital & facility affiliations
- Baptist Health Lexington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018783 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Kentucky Anesthesia PSC | Current | Accepting new patients | |
| Central Kentucky Anesthesia P.S.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1518083161
-
- Certified Registered Nurse Anesthetist
- Lexington, KY
- NPI 1851474159
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1992471619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2684 MORGANTOWN RD",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768543",
"telephone_number": "270-542-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2684 MORGANTOWN RD",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768543",
"telephone_number": "270-542-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEACHAM",
"first_name": "CHAD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-22",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3018783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.