MR. LESLIE RAY WALTMAN III (NPI# 1790053569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790053569 |
| Entity Type | Individual |
| Full Name | MR. LESLIE RAY WALTMAN III |
| Credential | CRNA |
| Practice Address |
8717 W 110th St Suite 600 Overland Park KS 66210-2144 |
| Mailing Address |
1308 E Briggs Dr Macon MO 63552-1919 |
| Practice Telephone | 2054743208 |
| Mailing Telephone | 6604155215 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2011040586 | MO | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 1-115596 | AL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2012006261 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8717 W 110TH ST SUITE 600 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292497 | Henry F Arst | Emergency Medicine | 8717 W 110th St, Ste 500, Overland Park, KS 66210-1569 | 2005-08-12 |
| 1700310406 | Tia Anderson | Nurse Anesthetist, Certified Registered | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2017-04-19 |
| 1396197232 | Garrett Withers | Registered Nurse | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2016-07-03 |
| 1457778169 | Anesthesia Associates of Kansas City, PC | Anesthesiology | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2014-03-20 |
| 1508208703 | Sarah A Sadler | Nurse Anesthetist, Certified Registered | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2013-07-29 |
| 1700143328 | Laura Stallbaumer Donnelly | Registered Nurse | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2012-04-19 |
| 1386916088 | Christopher Scott Buchanan | Registered Nurse | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2012-01-27 |
| 1750675476 | Dawn Denise Burt | Nurse Anesthetist, Certified Registered | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2011-05-31 |
| 1457662454 | Jennifer Erin Flum | Anesthesiology | 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | 2010-06-24 |
| 1750608675 | John Lawrence Patzkowsky | Anesthesiology | 8717 W 110th St, Overland Park, KS 66210-2144 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| 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 |
|---|---|---|---|---|
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1306199823 | Molly Ann Vincent | Nurse Anesthetist, Certified Registered | 5721 W. 119th St, Overland Park, KS 66209 | 2012-10-22 |
| 1053607036 | Adam Jeremy Hoover | Nurse Anesthetist, Certified Registered | 8717 W. 110th St., Bldg. 14 Ste. 600, Overland Park, KS 66210-2144 | 2011-06-28 |
| 1043531205 | Danielle Marie Haanstad | Nurse Anesthetist, Certified Registered | 10339 Long St, Overland Park, KS 66215-2237 | 2010-06-22 |
| 1336345867 | Elizabeth Patrice Debauge-katzer | Nurse Anesthetist, Certified Registered | 7617 W 64th St, Overland Park, KS 66202-3812 | 2007-06-22 |
| 1154425734 | Ruth A Morris | Nurse Anesthetist, Certified Registered | 10437 W 125th Ter, Overland Park, KS 66213-2172 | 2006-09-12 |
| 1588220578 | Apollo Medical Group of Overland Park LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St Ste 300, Overland Park, KS 66211-1546 | 2019-05-15 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1508381732 | Alyssa A Jones | Nurse Anesthetist, Certified Registered | 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 | 2017-08-09 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.