Thomas Drake, CRNA
Nurse Anesthetist, Certified Registered in Watertown, NY. Individual provider (NPI-1).
NPI number1528090263
StatusActive
Last updated in NPPESApr 30, 2008
Details
- NPI
- 1528090263
- Entity type
- Individual (NPI-1)
- Name
- Thomas Drake
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Apr 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 263889 | NY | Yes |
Practice location
830 Washington StWatertown, NY 13601-4066
Phone 315-785-8509 · Fax 315-785-8619
Mailing address
445 Factory StPo Box 91
Watertown, NY 13601-2729
Phone 315-782-4207 · Fax 315-782-8699
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.
Other Certified Registered Nurse Anesthetist providers in Watertown, NY
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All 13 Certified Registered Nurse Anesthetist providers in Watertown · All 1,646 providers in Watertown
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