Provider Demographics
NPI:1407849599
Name:RIGOT, JAMES E (CRNA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:RIGOT
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20452
Mailing Address - Street 2:WOAA CREDENTIALING
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0452
Mailing Address - Country:US
Mailing Address - Phone:614-457-8180
Mailing Address - Fax:614-583-3300
Practice Address - Street 1:110 N POPLAR ST
Practice Address - Street 2:MCCULLOUGH HYDE MEM HOSP ANESTHESIOLOGY DEPT
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1204
Practice Address - Country:US
Practice Address - Phone:513-524-5440
Practice Address - Fax:513-524-5559
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261456163W00000X
KY1102607163W00000X
OH051592367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000321769OtherANTHEM OF OHIO
OHP00252043OtherRR MCR
IN200100500Medicaid
OH2503482Medicaid
OH000000321769OtherANTHEM OF OHIO
OH000000321769OtherANTHEM OF OHIO