MR. CHRISTOPHER M WIEDERHOLD (NPI# 1558369488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558369488 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER M WIEDERHOLD |
| Credential | CRNA |
| Practice Address |
2142 N Cove Blvd Toledo OH 43606-3895 |
| Mailing Address |
2914 S Republic Blvd Toledo OH 43615-1912 |
| Practice Telephone | 4194714491 |
| Practice Fax Number | 4194796905 |
| Mailing Telephone | 4195318808 |
| Mailing Fax Number | 4195319342 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 263271 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2298697 | 05 |
| Street Address |
2142 N COVE BLVD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741054 | Michael Eugene Ruhlen | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-06-27 |
| 1972110104 | Atria Casey | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-10-01 |
| 1144837626 | Emily Buckner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-09-28 |
| 1376158717 | Lindsay Marie Roose | Advanced Practice Midwife | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-09-12 |
| 1679185359 | Rand Raed Fuad Elsharaiha | Student in an Organized Health Care Education/Training Program | 2142 N Cove Blvd, Toledo, OH 43606-3896 | 2020-08-23 |
| 1760007306 | Christine Pfeiffer | Radiologic Technologist | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-06-09 |
| 1568085488 | Travis Trayer | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1225651029 | Stephanie Dawson | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1154942100 | Sarah Mainzinger | Registered Nurse | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-30 |
| 1033730114 | Deborah Lynn Nelsen | Advanced Practice Midwife | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306380191 | Kristi Marie Radwan | Nurse Anesthetist, Certified Registered | 3155 Rocksberry Ave, Toledo, OH 43614 | 2016-12-13 |
| 1831587617 | Leon Victor Chagolla II | Nurse Anesthetist, Certified Registered | 2751 Kingsford Dr, Toledo, OH 43614-4416 | 2015-01-02 |
| 1003233222 | John Scribner | Nurse Anesthetist, Certified Registered | 4452 Cullen Ln, Toledo, OH 43611-2047 | 2014-03-26 |
| 1437382017 | Steven Allen Ihrke | Nurse Anesthetist, Certified Registered | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2009-08-28 |
| 1588295216 | Kayla M Spotts | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-31 |
| 1306486717 | Amanda Helen Priebe | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-14 |
| 1851931745 | Kevin Lim | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-09 |
| 1104466093 | Darlene S Casterwiler | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-09 |
| 1063052033 | Stephanie S Leonard | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-08 |
| 1467092387 | Alec Nicholas Duncan | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.