Provider Demographics
NPI:1295763894
Name:CASE, CLAUDE JEFFERSON (CRNA)
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:JEFFERSON
Last Name:CASE
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 1:2503 AUDUBON LANE
Mailing Address - Street 2:
Mailing Address - City:OWENS X RDS
Mailing Address - State:AL
Mailing Address - Zip Code:35763
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2503 AUDUBON LANE
Practice Address - Street 2:
Practice Address - City:OWENS X RDS
Practice Address - State:AL
Practice Address - Zip Code:35763
Practice Address - Country:US
Practice Address - Phone:256-536-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-050929367500000X
TNAPN 10279367500000X
TNRN 123648367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTAX IDOtherCOVENTRY HEALTHCARE
TNTAX IDOtherHEALTHSPRING
TNTAX IDOtherEMPLOYERS HEALTH NETWORK
TNSSNOtherTRICARE STANDARD
TNTAX IDOtherUNITED HEALTHCARE
TNSSNOtherHEALTH NET FEDERAL SERVICES
TNSSNOtherTRICARE PRIME
TNTAX IDOtherMULTIPLAN
TN1507932Medicaid
TN4194609OtherBLUE CROSS BLUE SHIELD
KY7100057190Medicaid
TNTAX IDOtherBEECH STREET
TNTAX IDOtherCENTER CARE
TNTAX IDOtherCIGNA HEALTHCARE
TNTAX IDOtherPRIME HEALTH SERVICES
TNTAX IDOtherHUMANA CHOICE CARE
TNTAX IDOtherBLUE GRASS FAMILY HEALTH
TNTAX IDOtherSIGNATURE HEALTH ALLIANCE
TNTAX IDOtherEMPLOYERS HEALTH NETWORK