Walter H Stuart Iv (NPI# 1578794483, PAC ID# 0547308306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1578794483 |
| PAC ID by PECOS | 0547308306 |
| Professional Enrollment ID | I20091116000319 |
| Full Name | Walter H Stuart Iv |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Address |
2200 Union Ave Memphis TN 38104-4205 |
| Phone Number | 9012745813 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941347447 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 N State St, Suite 270, Jackson, MS 39202-2027 | 8663626963 | LIFELINC ANESTHESIA PLLC |
| 2200 Union Ave, Memphis, TN 38104-4205 | 9012745813 | LIFELINC ANESTHESIA PLLC |
| 6286 Briarcrest Ave, Suite 308, Memphis, TN 38120-4023 | 9017524500 | LIFELINC ANESTHESIA PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 89% |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kopinski | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Joshua M Lemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Thomas A Opilka | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Micah Best | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 5350 Poplar Ave, Suite 900, Memphis, TN 38119-3699 |
| Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Gregory L Thompson | Anesthesiology | Lifelinc Anesthesia Pllc | 2301 S Lamar Blvd, Lifelinc Anesthesia Pllc, Oxford, MS 38655-5373 |
| David Bruce Mcmindes | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 804 Snow Hill Rd, Salisbury, MD 21804-1938 |
| Susan Coach | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 4805 Montgomery Rd, Suite 140, Norwood, OH 45212-2281 |
| Eric D Hutto | Anesthesiology | Lifelinc Anesthesia Pllc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Christopher Harrison Wright | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1200 N State St, Suite 270, Jackson, MS 39202-2027 |
| Street Address |
2200 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-4205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Opilka | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Mary E Jones | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Bryan Clifford Anderson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Gregory K Lambert | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Omar R Davis | Nephrology | Interventional Nephrology Specialists Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Justin D Mcadoo | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Natarsha D Grant | Nephrology | Interventional Nephrology Specialists Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MEMPHIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.