BILLY JACK PREMO CRNA
NPI 1003839911
Nurse Anesthetist, Certified Registered in Midwest City, OK

Q: What is Billy Premo's NPI number?

The NPI number for Billy Premo is 1003839911. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Billy Premo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Billy Premo was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2006

2825 PARKLAWN DR, MIDWEST CITY, OK 73110(405) 360-7576 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Billy Jack Premo Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILLY JACK PREMO CRNA (NPI 1003839911) is an individual nurse anesthetist, certified registered in Midwest City, Oklahoma, licensed in Oklahoma (R0025846) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003839911

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBILLY JACK PREMOCredential: CRNA

Location Address2825 PARKLAWN DRMidwest City, OK 73110-4201

Mailing AddressPo Box 10979Midwest City, OK 73140-1979 · (405) 360-7576

Phone(405) 360-7576

Sole ProprietorYes

Enumeration DateJuly 25, 2006

Last NPPES UpdateMarch 12, 2015

✔ NPI 1003839911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OK · R0025846

Definition

(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.

2825 PARKLAWN DR, Midwest City, OK 73110

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Other Identifiers 3

Other430001523OK · Medicare Pin

Medicaid100781950AOK

Other731189454001OK · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHAD N HUDSON P.A.

Physician Assistant