Gary Leonard Waldron (NPI# 1417915349, PAC ID# 7113911199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1417915349 |
| PAC ID by PECOS | 7113911199 |
| Professional Enrollment ID | I20040811000262 |
| Full Name | Gary Leonard Waldron |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Address |
320 Loretto Rd Lebanon KY 40033-1300 |
| Phone Number | 2706923161 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1977 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4082527890 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180024 | SPRING VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1140 Lexington Rd, Georgetown, KY 40324-9330 | 5028681100 | KENTUCKY ANESTHESIA GROUP PSC |
| 320 Loretto Rd, Lebanon, KY 40033-1300 | 2706923161 | KENTUCKY ANESTHESIA GROUP PSC |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Michael D. Goodwin | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Corissa L. Stovall | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Harry A Morgan | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Benjamin T Kabel | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Bradford A Shelby | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Anthony Jay Lopez | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Jason E Wilson | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Street Address |
320 LORETTO RD |
| City | LEBANON |
| State | KY |
| Zip | 40033-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| James Adam Montgomery | Anesthesiology | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Angela O Greenwell | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Babin | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Sean M Ladson | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Brittany J Schulz | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Takasha Stewart-hubbard | Hospitalist | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Jesus Siady | Family Medicine | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Harleen Chahil | Internal Medicine | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
| Mark Ackermann | Obstetrics/gynecology | Spring View Physician Practices LLC | 330 Loretto Rd, 500a, Lebanon, KY 40033-1308 |
| Lynval T Reynolds | Obstetrics/gynecology | Spring View Physician Practices LLC | 330 Loretto Rd, 500a, Lebanon, KY 40033-1308 |
| James Michael Smith | General Surgery | Spring View Physician Practices LLC | 429 Walnut St, Lebanon, KY 40033-1346 |
| Jeffrey A Roberts | Chiropractic | 496 W Main St, Lebanon, KY 40033-1362 | |
| Find all physicians in zip 40033 | |||
| City | LEBANON |
| Zip Code | 40033 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LEBANON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Gary Leonard Waldron.
| 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.