MR. CLINT LEE NESOM CRNA
NPI 1578559639
Nurse Anesthetist, Certified Registered in Dallas, TX

NPI Status: Active since September 23, 2005

Contact Information

13601 PRESTON RD
STE 1000W
DALLAS, TX
ZIP 75240
Phone: (972) 715-5000

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About CLINT NESOM

This page provides the complete NPI Profile along with additional information for Clint Nesom, a provider established in Dallas, Texas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1578559639 assigned on September 2005. The practitioner's primary taxonomy code is 367500000X with license number C01142 (AR). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1578559639
Provider Name
MR. CLINT LEE NESOM CRNA
Gender
Male
Entity Type
Individual
Location Address
13601 PRESTON RD STE 1000W DALLAS, TX 75240
Location Phone
(972) 715-5000
Mailing Address
PO BOX 650426 DALLAS, TX 75265
Mailing Phone
(972) 715-5000
Is Sole Proprietor?
No
Enumeration Date
09-23-2005
Last Update Date
05-05-2011
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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
License No.
C01142
License State
AR
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.

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.

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

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
5U298OTHER (01)ARAR BCBS
5U298MEDICARE ID-TYPE UNSPECIFIED (04)AR 
136727701MEDICAID (05)AR 

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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.
1578559639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481051866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 0 + 5 + 1 + 8 + 6 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1578559639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801889910 BURNEY WILLIAM GIBSON M.D.
Individual
Anesthesiology13601 PRESTON RD SUITE 900W
DALLAS, TX 75240
(972) 233-1999
1386638856DR. JOHN T. WOOD DDS
Individual
Dentist (General Practice)13601 PRESTON RD CARILLON TOWERS WEST, STE 320W
DALLAS, TX 75240
(972) 661-1094
1124005327DR. ROGER ALLEN SPENCER M.D.
Individual
Anesthesiology13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5000
1891766044DR. KENNETH EGBERT WILLIAMS M.D
Individual
Anesthesiology (Pain Medicine)13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5007
1629037932MR. PATRICK JOHN ONEILL CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5000
1851352876DR. HUBERT VINCENT COLLINS MD
Individual
Anesthesiology13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5000
1184671711 HAIA W. GOLDENBERG CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD #900W
DALLAS, TX 75240
(972) 715-5007
1740224674DR. HARRY H JUNG III M.D.
Individual
Anesthesiology13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5000
1205870979 DANIEL MELE MONCILOVICH CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5000
1649208950 RACHEL MAE POST
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5000
1104854769MRS. DEBORAH VINES-LOWE CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5007
1710994066 SANDRA H. WILCHER CRNA
Individual
Anesthesiology13601 PRESTON RD STE 900W
DALLAS, TX 75240
(469) 396-0142
1134138399MS. DONNA TESLA CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5000
1447261292MRS. MARGUERITE A WESTFALL CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5007
1104839240 LLOYD CARY CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD SUITE 1000W
DALLAS, TX 75240
(972) 715-5007
1083729263MR. BRUCE WHITE CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD 1000W
DALLAS, TX 75240
(972) 715-5000
1669574018DR. LOUIS CUTRER ROSS D.D.S.
Individual
Dentist (General Practice)13601 PRESTON RD SUITE 309W
DALLAS, TX 75240
(972) 387-2244
1487753364MR. DURAND WAGNER CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 715-5007
1912099177 AMANDA HANCKE CRNA
Individual
Nurse Anesthetist, Certified Registered13601 PRESTON RD STE 1000W
DALLAS, TX 75240
(972) 663-8523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578559639, enumerated in the NPI registry as an "individual" on September 23, 2005

The provider is located at 13601 Preston Rd Ste 1000w Dallas, Tx 75240 and the phone number is (972) 715-5000

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. 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 September 23, 2005. 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.