SOUTHCREST ANESTHESIA SERVICES, PLLC
NPI 1942302617
Nurse Anesthetist, Certified Registered in Southaven, MS

NPI Status: Active since September 02, 2006

Contact Information

7580 CLARINGTON CV
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9136
Fax: (662) 349-0677

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  • Organization
  • Nurse Anesthetist, Certified Registered

About SOUTHCREST ANESTHESIA SERVICES, PLLC

This page provides the complete NPI Profile along with additional information for Southcrest Anesthesia Services, Pllc, a provider established in Southaven, Mississippi operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1942302617 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number R691259 (MS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert Lawrence Ryan Crna (Owner Practice Manager)

NPI
1942302617
Provider Name
SOUTHCREST ANESTHESIA SERVICES, PLLC
Entity Type
Organization
Location Address
7580 CLARINGTON CV SOUTHAVEN, MS 38671
Location Phone
(662) 349-9136
Location Fax
(662) 349-0677
Mailing Address
PO BOX 1430 SOUTHAVEN, MS 38671
Mailing Phone
(662) 349-9136
Mailing Fax
(662) 349-0677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2006
Last Update Date
04-20-2008
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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.
R691259
License State
MS
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

*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

ROBERT LAWRENCE RYAN CRNA

Authorized Official Title
OWNER PRACTICE MANAGER
Authorized Official Phone
(662) 349-9136

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
C03305MEDICARE ID-TYPE UNSPECIFIED (04)MS 
=========OTHER (01)MSBC/BS MISSISSIPPI
09015237MEDICAID (05)MS 

Reviews for SOUTHCREST ANESTHESIA SERVICES, PLLC

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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.
1942302617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298260462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 6 + 0 + 4 + 6 + 2 + 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 1942302617 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 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528074184DESOTO SURGERY CLINIC LLC
Organization
Clinic/Center7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(662) 536-1545
1215039979 ROBERT LAWRENCE RYAN CRNA
Individual
Nurse Anesthetist, Certified Registered7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(662) 349-9136
1568657666MICHAEL E FOSTER MD PC
Organization
Surgery7580 CLARINGTON CV SUITE 4
SOUTHAVEN, MS 38671
(662) 349-5911
1104007558LEE GRIMM, M.D., P.C.
Organization
Specialist7580 CLARINGTON CV SUITE 3
SOUTHAVEN, MS 38671
(423) 854-0001
1174938344SPECIALTY SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(615) 620-9300
1407813736DR. JOHN TOM MORRIS JR. M.D.
Individual
Orthopaedic Surgery7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1932629805 MEREDITH KELSEY MCCORMICK PT
Individual
Physical Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 641-3000
1457845836 WHITNEY HORNER PT
Individual
Physical Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1164425088 CASEY B MCGHEE P.T.
Individual
Physical Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 641-3000
1861538951DR. JAMES EVERETT FORTUNE M.D.
Individual
Surgery7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(662) 349-1940
1932121662DR. CLAIBORNE ASHBY CHRISTIAN M.D.
Individual
Orthopaedic Surgery (Sports Medicine)7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 641-3000
1780318295 MACKENZIE ERYN BRANNAN PT
Individual
Physical Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1740688811MSK GROUP, PC
Organization
Orthopaedic Surgery7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1912303447MSK GROUP PC
Organization
Orthopaedic Surgery7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 641-3000
1255006037MRS. MADISON GRACE PENA PTA
Individual
Physical Therapy Assistant7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1821474107MRS. NANCYANNE PAGE HICKMAN P.T.
Individual
Physical Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1992470082 SARAH GRACE YOUNGBLOOD OTR/L
Individual
Occupational Therapist7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600
1215455639 MELANIE ANN HAYS NP
Individual
Nurse Practitioner (Family)7580 CLARINGTON CV
SOUTHAVEN, MS 38671
(901) 259-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942302617, enumerated in the NPI registry as an "organization" on September 02, 2006

The provider is located at 7580 Clarington Cv Southaven, Ms 38671 and the phone number is (662) 349-9136

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

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 02, 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.