Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Stephen Michael Mehallow, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720659071

Mr. Stephen Michael Mehallow, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in San Antonio, Texas. Qualified in 2021, 5 years ago. Practices with Syracuse ASC LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Texas.

Years since qualifying
5
Licensed in
GA, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (201) 358-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 — (518) 253-4943

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1071183 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN293786 (GA)

Record details

NPI number1720659071
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Syracuse Asc Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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