EDMUND CARMACK CRNA
NPI 1043232010
Nurse Anesthetist, Certified Registered in Jonesboro, AR

Q: What is the provider's specialty?

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

Active since July 25, 2006

225 E JACKSON AVE, JONESBORO, AR 72401(870) 932-4211(870) 931-9141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Anesthetist, Certified Registered

About EDMUND CARMACK

This page provides the complete NPI Profile along with additional information for Edmund Carmack, a provider established in Jonesboro, Arkansas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1043232010 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X with license number C00864 (AR). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI: 1043232010 Verify this NPI
Provider Name: EDMUND CARMACK CRNA
Gender: Male
Entity Type: Individual
Location Address: 225 E JACKSON AVE JONESBORO, AR 72401
Location Phone: (870) 932-4211
Location Fax: (870) 931-9141
Mailing Address: PO BOX 8099 JONESBORO, AR 72403
Mailing Phone: (870) 932-4211
Mailing Fax: (870) 931-9141
Is Sole Proprietor?: No
Enumeration Date: 07-25-2006
Last Update Date: 07-08-2007
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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.: C00864
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:

Medicare

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

Medicaid

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
5S444	MEDICARE ID-TYPE UNSPECIFIED (04)	AR
122599001	MEDICAID (05)	AR