MR. DOUGLAS ALAN CRUTCHFIELD C.R.N.A. NPI 1003995176

Nurse Anesthetist, Certified Registered in Eufaula, OK

Individual Male Nurse Anesthetist, Certified Registered Accepts Medicare Years Experience 42

About DOUGLAS CRUTCHFIELD

Douglas Crutchfield is a provider established in Eufaula, Oklahoma and his medical specialization is nurse anesthetist, certified registered with more than 42 years of experience. The NPI number of Douglas Crutchfield is 1003995176 and was assigned on November 2006. The practitioner's primary taxonomy code is 367500000X with license number 29347 (OK). The provider is registered as an individual and his NPI record was last updated 10 years ago. Douglas Crutchfield is registered with Medicare and accepts claims assignment.

NPI

1003995176

Provider NameMR. DOUGLAS ALAN CRUTCHFIELD C.R.N.A.
Provider Location AddressRR 5 BOX 114 EUFAULA, OK 74432
Provider Mailing AddressRR 5 BOX 114 EUFAULA, OK 74432
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1978
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-02-2006
Last Update Date07-22-2010

Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.29347
License StateOK
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.

Business Address

MR. DOUGLAS ALAN CRUTCHFIELD C.R.N.A.
RR 5 BOX 114
EUFAULA, OK
ZIP 74432
Phone: (918) 339-4122

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Mailing Address

MR. DOUGLAS ALAN CRUTCHFIELD C.R.N.A.
RR 5 BOX 114
EUFAULA, OK
ZIP 74432
Phone: (918) 339-4122

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.