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MR. PAUL ROGER BACKUS CRNA NPI 1790721876


NPI Information

NPI: 1790721876
Provider Name: MR. PAUL ROGER BACKUS, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
550 FORT LOUDOUN MEDICAL CENTER DRIVE
LENOIR CITY, TN
ZIP 37772
Phone: (865) 777-0909
Get Directions

MR. Paul Roger Backus, CRNA is a nurse anesthetist certified registered in Lenoir City, TN. 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. MR. Paul Roger Backus, CRNA NPI is 1790721876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 FORT LOUDOUN MEDICAL CENTER DRIVE
LENOIR CITY, TN
ZIP 37772-673
Phone: (865) 777-0909
Fax: (865) 777-0910

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/11/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered5986AKENTUCKYNo
2367500000XNurse Anesthetist, Certified Registered9088TENNESSEENo
3367500000XNurse Anesthetist, Certified Registered51127TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1430009899OTHERTENNESSEEMEDICARE TRAVELERS
2P00810612OTHERKENTUCKYRAILROAD MEDICARE PIN
34173676OTHERTENNESSEEBLUE CROSS/BLUE SHIELD
40907328MEDICARE PINKENTUCKY
5P00479791OTHERTENNESSEERAILROAD MEDICARE PIN
63600360MEDICARE PINTENNESSEE
7000000616087OTHERKENTUCKYBLUE CROSS/BLUE SHIELD
81502526MEDICAIDTENNESSEE
93600330MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
103037713OTHERTENNESSEEBLUE CROSS
11100021676OTHERTENNESSEEPHP TENNCARE
123037713OTHERTENNESSEEBLUECARE
133600330MEDICAIDTENNESSEE

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: 5/5/2024

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.