Mr. Shawn T Gaughan, CRNA
Nurse Anesthetist, Certified Registered in Saint Paul, Minnesota
1417926130- Practice location
- 1544 Sheldon St, Saint Paul, MN 55108-2331
- Phone
- 651-646-3091
- Fax
- 651-646-3124
- Last updated
- June 14, 2022
Shawn Thomas Gaughan is a Nurse Anesthetist, Certified Registered based in Saint Paul, MN. Shawn Thomas Gaughan practices in Saint Paul, MN and has the professional credentials of CRNA. The NPI Number for Shawn Thomas Gaughan is 1417926130 and holds a License No. R 139202-1 (MN). The current practice location address for Shawn Thomas Gaughan is 1544 Sheldon St, Saint Paul, MN 55108-2331 and can be reached out via phone at 651-646-3091 and via fax at 651-646-3124.
Provider Profile Details
- NPI Number
- 1417926130
- Provider Name
- Shawn Thomas Gaughan
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1544 Sheldon St, Saint Paul, MN 55108-2331
- Phone Number
- 651-646-3091
- Fax Number
- 651-646-3124
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 15, 2006
- Last Update Date
- June 14, 2022
- Certification Date
- June 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1544 Sheldon St
Saint Paul, MN 55108-2331 - City
- Saint Paul
- State
- Minnesota
- Zip
- 55108-2331
- Phone Number
- 651-646-3091
- Fax Number
- 651-646-3124
Provider Business Mailing Address Details
- Address
- 1544 Sheldon St
Saint Paul, MN 55108-2331 - City
- Saint Paul
- State
- MN
- Zip
- 55108-2331
- Phone Number
- 651-646-3091
- Fax Number
- 651-646-3124
License Information
- License Number (1)
- R 139202-1
- License State (1)
- MN
- Taxonomy (1)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (2)
- RN223809
- License State (2)
- MA
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Anesthetist, Certified Registered providers near Saint Paul, MN
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Frequently Asked Questions
What is the NPI number of Mr. Shawn T Gaughan, CRNA?
The NPI number of Mr. Shawn T Gaughan, CRNA is 1417926130. It was assigned on March 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Shawn T Gaughan, CRNA?
Mr. Shawn T Gaughan, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MN under license number R 139202-1.
Where does Mr. Shawn T Gaughan, CRNA practice?
The practice location is 1544 Sheldon St, Saint Paul, MN 55108-2331. The office can be reached at 651-646-3091 (phone) or 651-646-3124 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417926130 directly on the NPPES registry website.