Joseph Alexander Damron, CRNA
Nurse Anesthetist, Certified Registered in Conway, AR. Individual provider (NPI-1).
NPI number1124400601
StatusActive
Last updated in NPPESJan 22, 2021
Details
- NPI
- 1124400601
- Entity type
- Individual (NPI-1)
- Name
- Joseph Alexander Damron
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2015
- Certification date
- Dec 30, 2020
- Last updated
- Jan 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24600 | SC | Yes |
| 163W00000X | Registered Nurse | R096488 | AR |
Practice location
2740 College AveConway, AR 72034-6141
Phone 501-329-5459
Mailing address
1185 S Lake StSalt Lake City, UT 84105-1258
Phone 501-680-7497
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Certified Registered Nurse Anesthetist providers in Conway · All 3,490 providers in Conway
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