RANDAL CRAIG PHILLIPS (NPI# 1346292612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346292612 |
| Entity Type | Individual |
| Full Name | RANDAL CRAIG PHILLIPS |
| Credential | CRNA |
| Practice Address |
4916 Overton Plz Fort Worth TX 76109-4415 |
| Practice Telephone | 8888043000 |
| Practice Fax Number | 8173340235 |
| Mailing Telephone | 8888043000 |
| Mailing Fax Number | 8173340235 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 246205 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982974127 | Randal Wayne Phillips | Pharmacist | 1120 Tamiami Trl N, Nokomis, FL 34275-2158 | 2012-01-05 |
| Street Address |
4916 OVERTON PLZ |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587016 | Xiao-en Fang | Anesthesiology | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2005-06-01 |
| 1407164213 | Zachary Taylor | Registered Nurse | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2010-09-15 |
| 1093954190 | Matthew Rowley | Anesthesiology | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2009-02-12 |
| 1386880847 | Amelia Monica Burciu | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109 | 2009-01-05 |
| 1215113527 | Deborah Wilson Sellers | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2008-01-16 |
| 1356524920 | John R Romolton | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-12-06 |
| 1750563383 | Walter C Braunitzer | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109 | 2007-12-05 |
| 1265614929 | Matthew D Watters | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-12-04 |
| 1992985998 | Lance A. Wilks | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-11-07 |
| 1306026513 | Ashley R Krafthoefer | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1487292520 | Tran Dao | Nurse Anesthetist, Certified Registered | 8113 Rambler Rose St, Fort Worth, TX 76137-1294 | 2019-12-19 |
| 1093375305 | Desiree Michelle Silva | Nurse Anesthetist, Certified Registered | 7212 Park West Cir Apt 8210, Fort Worth, TX 76134-3570 | 2019-06-18 |
| 1255877551 | Virtue Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 209 Saint Louis Ave, Fort Worth, TX 76104-1231 | 2017-01-10 |
| 1326406919 | Tonie Durrah | Nurse Anesthetist, Certified Registered | 9713 Burwell Dr, Fort Worth, TX 76244-9531 | 2016-02-10 |
| 1730545658 | Erasmo Coutino | Nurse Anesthetist, Certified Registered | 917 W Broadus Ave, Fort Worth, TX 76115-2410 | 2016-01-07 |
| 1528423365 | John Ryan Nuckols | Nurse Anesthetist, Certified Registered | 6020 Portico Dr Apt 1527, Fort Worth, TX 76132-4189 | 2015-12-21 |
| 1194198457 | Nathan Boone Crick | Nurse Anesthetist, Certified Registered | 5264 Buffalo Gap Trl, Fort Worth, TX 76126 | 2015-11-09 |
| 1780061044 | Heather Taylor Ross | Nurse Anesthetist, Certified Registered | 5918 Siltstone Ln, Apt 616, Fort Worth, TX 76137-8003 | 2015-05-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.