Provider Demographics
NPI:1346240108
Name:ENGLISH, ROBERT JUDD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JUDD
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:JUDD
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:800 ROSE STREET
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY CHANDLER MEDICAL CENTER
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536
Mailing Address - Country:US
Mailing Address - Phone:859-323-5956
Mailing Address - Fax:859-323-1080
Practice Address - Street 1:800 ROSE STREET
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY CHANDLER MEDICAL CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-5956
Practice Address - Fax:859-323-1080
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005992367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74008004Medicaid
TN3635050Medicaid
TN4072297OtherBCBS NUMBER
AL009941605Medicaid
AL009941605Medicaid