Mr Christopher Wayne Theodore, CRNA | |
300 Werner, St. Joseph Hospital, Hot Springs, AR 71913-6921 | |
(501) 622-1875 | |
(501) 525-1925 |
Full Name | Mr Christopher Wayne Theodore |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 300 Werner, Hot Springs, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548588783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | #R72957 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | #CTP000134 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Health Group | 7911802079 | 517 |
Harris And Theodore Anesthesia Services Llc | 9234374554 | 7 |
Entity Name | Arkansas Health Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508800962 PECOS PAC ID: 7911802079 Enrollment ID: O20040331000754 |
Entity Name | Mcgowan Court Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982955621 PECOS PAC ID: 9739330499 Enrollment ID: O20121107000077 |
Entity Name | Harris And Theodore Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184975955 PECOS PAC ID: 9234374554 Enrollment ID: O20130314000224 |
Entity Name | Acse Anesthesia Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124366612 PECOS PAC ID: 0345478087 Enrollment ID: O20140102000651 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Wayne Theodore, CRNA 3810 Central Avenue, Suite H, Midstate Medical Services, Hot Springs, AR 71913-6921 Ph: (501) 525-5840 | Mr Christopher Wayne Theodore, CRNA 300 Werner, St. Joseph Hospital, Hot Springs, AR 71913-6921 Ph: (501) 622-1875 |
Mr. Erik W. Adland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Werner St., Hot Springs, AR 71913 Phone: 501-622-1930 Fax: 501-622-1925 | |
John Miles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Werner St, Hot Springs, AR 71913 Phone: 501-622-1000 | |
Ms. Deneice M Brannan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1910 Malvern Ave, Hot Springs, AR 71901 Phone: 501-321-1000 | |
Casey Alan Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1910 Malvern Ave, Hot Springs, AR 71901 Phone: 501-321-1000 | |
Mr. Michael P Sawyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1636 Higdon Ferry Rd, Mlk Boulevard, Hot Springs, AR 71913 Phone: 501-520-5215 Fax: 501-520-3704 | |
Mr. James R Humble Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1910 Malvern Ave, Hot Springs, AR 71901 Phone: 501-321-1000 | |
James Walter Hendrix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Werner St, Hot Springs, AR 71913 Phone: 501-664-4532 |