Healthcare Provider Details

I. General information

NPI: 1801127980
Provider Name (Legal Business Name): RYAN D AUSTIN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTH CIR
LEXINGTON VA
24450-2448
US

IV. Provider business mailing address

1 HEALTH CIR
LEXINGTON VA
24450-2448
US

V. Phone/Fax

Practice location:
  • Phone: 540-458-3300
  • Fax: 540-981-7855
Mailing address:
  • Phone: 540-458-3300
  • Fax: 540-981-7855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number166193
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0024174762
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: