| Travis Thompson, CRNA | |
|
3324 French Park Dr, Suite D, Edmond, OK 73034-7269 | |
| (405) 715-3610 | |
| (405) 715-3612 |
| Full Name | Travis Thompson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 3324 French Park Dr, Edmond, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669791596 | NPI | - | NPPES |
| 200292810A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 80478 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital Of Oklahoma | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Anthony Shawnee Hospital Inc | 1052567328 | 13 |
| Surgical Hospital Of Oklahoma Llc | 2365337268 | 6 |
| Entity Name | Central Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912008780 PECOS PAC ID: 4082632948 Enrollment ID: O20051109000379 |
| Entity Name | Surgical Hospital Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033229240 PECOS PAC ID: 2365337268 Enrollment ID: O20070423000351 |
| Entity Name | Anesthesia Medical Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187 |
| Entity Name | St Anthony Shawnee Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Thompson, CRNA Po Box 13618, Oklahoma City, OK 73113-1618 Ph: (405) 715-3610 | Travis Thompson, CRNA 3324 French Park Dr, Suite D, Edmond, OK 73034-7269 Ph: (405) 715-3610 |
Brian Dale Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21899 Marbella Dr, Edmond, OK 73012 Phone: 405-501-4244 | |
Cory Watson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 | |
Dr. Alexander Inkhamheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 | |
Kayla Marie Spaulding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 S Bryant Ave, Edmond, OK 73034 Phone: 405-314-6100 |