Mr Christopher Oudekerk, CRNA | |
11830 Rangeview Cir, Salida, CO 81201-8541 | |
(252) 622-8289 | |
Not Available |
Full Name | Mr Christopher Oudekerk |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11830 Rangeview Cir, Salida, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225023278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 118864 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 194240 (North Carolina) | Primary |
Entity Name | Associated Anesthesiologists Of Fort Wayne, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562 |
Mailing Address | Practice Location Address |
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Mr Christopher Oudekerk, CRNA 11830 Rangeview Cir, Salida, CO 81201-8541 Ph: (252) 622-8289 | Mr Christopher Oudekerk, CRNA 11830 Rangeview Cir, Salida, CO 81201-8541 Ph: (252) 622-8289 |
Mrs. Jonelle Lynae Vallier, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Rush Drive, Salida, CO 81291 Phone: 719-290-1367 | |
Mr. Lawrence M. Shovelton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 29 Silver Spruce Dr, Salida, CO 81201 Phone: 719-325-6871 | |
Scott K Shaffer, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 448 E 1st St, Salida, CO 81201 Phone: 719-539-6661 |