Crystal Shanta Waller (NPI# 1992055289, PAC ID# 8325298391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
Nation Provider ID (NPI) | 1992055289 |
PAC ID by PECOS | 8325298391 |
Professional Enrollment ID | I20121029000379 |
Full Name | Crystal Shanta Waller |
Organization Legal Name | AMSOL ANESTHETISTS OF GEORGIA, LLC |
Address |
4401 River Chase Dr Phenix City AL 36867-7483 |
Phone Number | 3347323010 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
Group Practice PAC ID | 5193780955 |
Number of Group Practice Members | 60 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323010 | AMSOL ANESTHETISTS OF GEORGIA, LLC |
Organization Legal Name | AMSOL ANESTHETISTS OF GEORGIA, LLC |
Physicians | 69 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brooklyn N Williams | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Heather B Wilson | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 100 Frist Ct, Columbus, GA 31909-3578 |
Christine M Glynn | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Amanda B Kowalewski | Anesthesiology Assistant | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Dennis Wayne Gray Jr. | Anesthesiology | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Sharon C Johnson | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Rajesh Arora | Anesthesiology | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Diana Young | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 100 Frist Ct, Columbus, GA 31909-3578 |
John Robert Wall | Anesthesiology | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Rayonda Antrice Moon Coleman | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 710 Ctr St, Columbus, GA 31901-1527 |
Street Address |
4401 RIVER CHASE DR |
City | PHENIX CITY |
State | AL |
Zip | 36867-7483 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christine M Glynn | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Saeed A Baloch | Internal Medicine | 4401 River Chase Dr, Phenix City, AL 36867-7483 | |
Daniel A Draper | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Rachelle Thompson Nix | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Adam K Wallace | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Macy Lammert | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
David E Cerro | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Youhon D Torrance | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Andrew M Osborne | Anesthesiology | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Jerita M James | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Georgia, LLC | 4401 River Chase Dr, Phenix City, AL 36867-7483 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Honsinger Nilsson | Optometry | 2011 Hwy 280 Bypass, Phenix City, AL 36867 | |
Gary J Keogh | Physical Medicine and Rehabilitation | 3715 Hwy 280/431 N, Phoneix City, AL 36867 | |
Michael J Redus | Optometry | 2011 Hwy 280 Bypass, Phenix City, AL 36867 | |
Robert M Cargile Iii | Diagnostic Radiology | Bridgeway Diagnostic Radiology, LLC | 5007 Summerville Rd, Phenix City, AL 36867-1559 |
Kelli Anne Chambers | Physician Assistant | Phenix City Joint and Rehab LLC | 3700 S Railroad St, Suite D, Phenix City, AL 36867-2994 |
Alexa Jones | Physician Assistant | Pinnacle Enterprises PC | 3700 S Railroad St A, Phenix City, AL 36867-2994 |
Amanda Uzzell | Physician Assistant | Pinnacle Enterprises PC | 3700 S Railroad St A, Phenix City, AL 36867-2994 |
Stephen B Cooper Sr. | Chiropractic | Phenix City Spine and Joint Ctr. | 3700 S Railroad St, Suite B, Phenix City, AL 36867-2994 |
Sean Edward Lauraitis | Chiropractic | Phenix City Spine and Joint Ctr. | 3700 S Railroad St, Suite B, Phenix City, AL 36867-2994 |
Richard Ray Cunningham | Geriatric Medicine | Phenix City Joint and Rehab LLC | 3700 S Railroad St, Suite D, Phenix City, AL 36867-2994 |
Find all physicians in zip 36867 |
City | PHENIX CITY |
Zip Code | 36867 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
City + Specialty | PHENIX CITY + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Crystal Shanta Waller.
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.