MEDICARE: JAMES D STEANSON CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	APNCO2776	AR
2	367500000X	Certified Registered Nurse Anesthetist	28189794A	IN
3	367500000X	Certified Registered Nurse Anesthetist	97362	OK
4	163W00000X	Registered Nurse	RN 113440	TN
5	367500000X	Certified Registered Nurse Anesthetist	APN 11401	TN
6	367500000X	Certified Registered Nurse Anesthetist	ARNP6026A	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4129317	OTHER	TN	BLUE CROSS/BLUE SHIELD OF TN - INTEGRATED
2	01241180	OTHER	TN	AMERIGROUP TENNCARE - NON PAR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4216821	OTHER	TN	BLUE CROSS/BLUE SHIELD OF TN - SAS

General Provider Information

NPI Number	:	1558314526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES D STEANSON CRNA

Provider Business Mailing Address
First Line	:	PO BOX 291264
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37229-1264
Country	:	US
Telephone Number	:	615-620-2320
Fax Number	:	615-620-2323

Provider Business Practice Location Address
First Line	:	235 MEDICAL CENTER BLVD
Second Line	:	THE ENDOSCOPY CENTER OF BRISTOL
City	:	BRISTOL
State	:	TN
Zip	:	37620
Country	:	US
Telephone Number	:	423-230-3177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/09/2010

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