Mr Cody Randy Charlton, CRNA | |
801 W Maple St, Farmington, NM 87401-5630 | |
(505) 609-2258 | |
(505) 609-2259 |
Full Name | Mr Cody Randy Charlton |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 801 W Maple St, Farmington, New Mexico |
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 |
---|---|---|---|
1720182710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01505 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 5130028-4406 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Timpanogos Regional Hospital | Orem, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs Phs Naihs Shiprock Hospital | 0749193837 | 73 |
Mountain View Anesthesia Lc | 5991604829 | 19 |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Mr Cody Randy Charlton, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Mr Cody Randy Charlton, CRNA 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2258 |
Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355 | |
Daniel Herring, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259 | |
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Adam Russell Penrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365 |