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Deactivated NPI 1568440501 Deactivated / Inactive NPI Male Practitioner

Thomas Edward Sample , CRNA

Nurse Anesthetist, Certified Registered • Ocala, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Sample has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2006
NPI Deactivation Date March 20, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Thomas Sample, CRNA was a registered Nurse Anesthetist, Certified Registered practicing in Ocala, FL. Throughout an active medical career spanning 18 years, Thomas Sample provided care at the practice location at 1150 SE 18TH PLACE until profile deactivation on 2024-03-20.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1150 Se 18th Place

Ocala, FL 34471

Telephone 3527328905
Associated Practice Facility / Clinic
🏢 Ocala Endoscopy Asc Lp Facility NPI 1689646937

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Ocala, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Ocala, FL (6544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
14 14 $350.00 $108.37

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License FL ARNP1781092

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Stephani Carver , APRN

Nurse Practitioner

NPI 1083207211

Advanced Practice Registered Nurse

Lynda Burgess , APRN

Nurse Practitioner - Family

NPI 1083326045

Advanced Practice Registered Nurse

David Titus , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144208448

Certified Registered Nurse Anesthetist

Stephen Forrest , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255318606

Certified Registered Nurse Anesthetist

Dr. Richard Vaneldik , MD

Internal Medicine - Gastroenterology

NPI 1295767390

Doctor of Medicine (M.D.)

Mack Haddock , CRNA

Nurse Anesthetist, Certified Registered

NPI 1326025784

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1150 SE 18TH PLACE, OCALA, FL 34471 (Tel: 3527328905)

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Updated Business Mailing Address July 08, 2007

Registered at 3601 SE 24TH AVE, OCALA, FL 344716943 (Tel: 3523514084)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SAMPLE, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Anesthetist, Certified Registered (License #ARNP1781092 in FL)

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Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568440501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2024

Mailing Address

3601 Se 24th Ave

Ocala, FL 344716943

Phone: 3523514084

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.