CRESTON MEDICAL CLINIC CRNAS
NPI 1316991607
Nurse Anesthetist, Certified Registered in Creston, IA

NPI Status: Active since May 20, 2006

Contact Information

1610 W TOWNLINE ST
SUITE 200
CRESTON, IA
ZIP 50801
Phone: (641) 782-2131
Fax: (641) 782-6425

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  • Organization
  • Nurse Anesthetist, Certified Registered

About CRESTON MEDICAL CLINIC CRNAS

This page provides the complete NPI Profile along with additional information for Creston Medical Clinic Crnas, a provider established in Creston, Iowa operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1316991607 assigned on May 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Creston Medical Clinic Crnas operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Creston Medical Clinic Crnas. The authorized official of this NPI record is James E Mansour M.d. (President Of The Corporation)

NPI
1316991607
Provider Legal Name
CRESTON MEDICAL CLINIC, P.C.
Other Organization Name
CRESTON MEDICAL CLINIC CRNAS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1610 W TOWNLINE ST SUITE 200 CRESTON, IA 50801
Location Phone
(641) 782-2131
Location Fax
(641) 782-6425
Mailing Address
1610 W TOWNLINE ST SUITE 200 CRESTON, IA 50801
Mailing Phone
(641) 782-2131
Mailing Fax
(641) 782-6425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES E MANSOUR M.D.

Authorized Official Title
PRESIDENT OF THE CORPORATION
Authorized Official Phone
(641) 782-2131

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0265793MEDICAID (05)IA 
26579OTHER (01)IAWELLMARK BCBS CRNA #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316991607
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326189260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 8 + 9 + 2 + 6 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1316991607 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679577548 DONALD E MCKIM OD
Individual
Optometrist1610 W TOWNLINE ST STE 115
CRESTON, IA 50801
(641) 782-7619
1982608865 KENNETH D STULTS OD
Individual
Optometrist1610 W TOWNLINE ST STE 115
CRESTON, IA 50801
(641) 782-7619
1669468385 BLYTHE D WALTERSDORF P.A.
Individual
Physician Assistant1610 W TOWNLINE ST SUITE 1
CRESTON, IA 50801
(641) 782-2131
1740232842CRESTON MEDICAL CLINIC, P.C.
Organization
Family Medicine1610 W TOWNLINE ST SUITE 200
CRESTON, IA 50801
(641) 782-2131
1396799078 DANIEL E WALKER D.O.
Individual
Family Medicine1610 W TOWNLINE ST SUITE 200
CRESTON, IA 50801
(641) 782-2131
1679527204 ROBERT M KUHL M.D.
Individual
Surgery1610 W TOWNLINE ST SUITE 200
CRESTON, IA 50801
(641) 782-2131
1053365395 JAMES E MANSOUR M.D.
Individual
Family Medicine1610 W TOWNLINE ST SUITE 200
CRESTON, IA 50801
(641) 782-2131
1700809183MORNING STAR INTERNAL MEDICINE PC
Organization
Internal Medicine1610 W TOWNLINE ST SUITE 110
CRESTON, IA 50801
(641) 782-3641
1376798066NEW LIFE FAMILY MEDICINE P.C.
Organization
Family Medicine1610 W TOWNLINE ST SUITE 100
CRESTON, IA 50801
(641) 782-3877
1831377241DR. HEATHER ANNA OSTERBRINK M.D.
Individual
Surgery1610 W TOWNLINE ST SUITE 110
CRESTON, IA 50801
(641) 782-3887
1326319070DR. AMY SLEE HYNEK MCFARLAND D.O.
Individual
Surgery1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-2131
1447220538 RONALD WILLIAM CHARLES M.D.
Individual
Orthopaedic Surgery1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-3887
1477507150 JOHN C HOYT D.O.
Individual
Family Medicine1610 W TOWNLINE ST SUITE 200
CRESTON, IA 50801
(641) 782-2131
1073898474 CRYSTAL JEAN JOHNSON ARNP
Individual
Nurse Practitioner (Family)1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-2131
1770803082DR. ERIKA NICOLE LEVIS BROWN M.D.
Individual
Family Medicine1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-2131
1538114368 TIMOTHY D RANKIN M.D.
Individual
Orthopaedic Surgery1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-3887
1972540011 JAMES D GERDES DO
Individual
Family Medicine1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-2131
1861416141 STEVEN DALE REEVES MD
Individual
Internal Medicine1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-3641
1912293135DR. ERIC M LARSEN DPM
Individual
Podiatrist1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-3887
1831755834 MALLORY L KIRSCHER
Individual
Nurse Practitioner1610 W TOWNLINE ST
CRESTON, IA 50801
(641) 782-2131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316991607, enumerated in the NPI registry as an "organization" on May 20, 2006

The provider is located at 1610 W Townline St Suite 200 Creston, Ia 50801 and the phone number is (641) 782-2131

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.