Harold R Bandalan (NPI# 1063594638, PAC ID# 4082636089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063594638 |
| PAC ID by PECOS | 4082636089 |
| Professional Enrollment ID | I20160707002421 |
| Full Name | Harold R Bandalan |
| Organization Legal Name | OZARK ANESTHESIA ASSOCIATES, INC. |
| Address |
3801 S National Ave Springfield MO 65807-5210 |
| Phone Number | 4172696000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1850290149 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 3801 S National Ave, Springfield, MO 65807-5210 | 4172696000 | OZARK ANESTHESIA ASSOCIATES, INC. |
| 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 4172259235 | OZARK ANESTHESIA ASSOCIATES, INC. |
| Organization Legal Name | OZARK ANESTHESIA ASSOCIATES, INC. |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis Denovi | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Amanda Sharp | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Kayla Conner Hickey | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Jacob D Hay | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Kelley Coggin | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Curtice E Williams Iii | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| William S Anast | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Kent B Schaller | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| William Wynn | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Timothy J Wand | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Street Address |
3801 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65807-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis Denovi | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Ryan G Jones | Psychologist, Clinical | Regional Services | 3801 S National Ave, 900 Coxhealth Neuropsychology Services, Springfield, MO 65807-5210 |
| Amanda Sharp | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Brittany J Allen | Psychologist, Clinical | Regional Services | 3801 S National Ave, 900 Coxhealth Neuropsychology Services, Springfield, MO 65807-5210 |
| Kayla Conner Hickey | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Traci D Bilyeu Ellis | Physician Assistant | Regional Services | 3801 S National Ave, Springfield, MO 65807-5210 |
| Jacob D Hay | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Kelley Coggin | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Vincen Gene Barnes | Psychologist, Clinical | Lester E Cox Medical Centers | 3801 S National Ave, Springfield, MO 65807-5210 |
| Stacey L Fawbush | Nurse Practitioner | Lester E Cox Medical Centers | 3801 S National Ave, Springfield, MO 65807-5210 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina Cummins | Physician Assistant | Regional Services | 1720 W Battlefield, Coxhealth Quick Care, Springfield, MO 65807 |
| Tonya Mcmillen Boone | Clinical Social Worker | 1644 W Elfindale St, Springfield, MO 65807-1286 | |
| Carol L Scott | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Christopher Boschen | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Tara L Boehne | Occupational Therapy | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Elizabeth A Tyner | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Kayette M Glass | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Wanda Miller | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| James Neptune | Chiropractic | Neptune Chiropractic Clinic PC | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 |
| Michael L Langenberg | Chiropractic | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 | |
| Find all physicians in zip 65807 | |||
| City | SPRINGFIELD |
| Zip Code | 65807 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SPRINGFIELD + 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.