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GARY EUGENE BOUTWELL CRNA NPI 1255331708


NPI Information

NPI: 1255331708
Provider Name: GARY EUGENE BOUTWELL, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC Address:
985 9TH AVE SW
SUITE 403
BESSEMER, AL
ZIP 35022
Phone: (205) 481-8470
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Gary Eugene Boutwell, CRNA is a nurse anesthetist certified registered in Bessemer, AL with 23 years of experience. The provider is (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. Gary Eugene Boutwell, CRNA NPI is 1255331708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

985 9TH AVE SW
SUITE 403
BESSEMER, AL
ZIP 35022-500
Phone: (205) 481-8470
Fax: (205) 481-8473

The enumeration date for this NPI number is 7/27/2005 and was last updated on 2/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care1-092654ALABAMANo
2367500000XNurse Anesthetist, Certified Registered1-092654ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051528357MEDICARE ID-TYPE UNSPECIFIEDALABAMA
2P67309MEDICARE UPINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.