Nancy Stultz (NPI# 1932176567, PAC ID# 9739107434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1932176567 |
| PAC ID by PECOS | 9739107434 |
| Professional Enrollment ID | I20051201000438 |
| Full Name | Nancy Stultz |
| Organization Legal Name | FOUR STATES ANESTHESIA SERVICES LLC |
| Address |
1619 K66 Galena KS 66739-4306 |
| Phone Number | 6207831732 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8729973284 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170203 | PREMIER SURGICAL INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 1619, K66, Galena, KS 66739-4306 | 6207831732 | FOUR STATES ANESTHESIA SERVICES LLC |
| 444 Four States Dr, Suite 2, Galena, KS 66739-4325 | 6207834000 | FOUR STATES ANESTHESIA SERVICES LLC |
| Organization Legal Name | FOUR STATES ANESTHESIA SERVICES LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don D Enyart | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Rodney D Grant | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Danielle R Davidson | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 444 Four States Dr, Suite 2, Galena, KS 66739-4325 |
| Karen L Sapp | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Terri S Tracy | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 444 Four States Dr, Suite 2, Galena, KS 66739-4325 |
| Keanon S Walker | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Robert A Coats | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Buffy L Bunce | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Street Address |
1619 K66 |
| City | GALENA |
| State | KS |
| Zip | 66739-4306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don D Enyart | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Karen L Sapp | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Buffy L Bunce | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Keith A Mallatt | Optometry | 719 E 7th St, Galena, KS 66739-1703 | |
| Christopher H Roberts | Obstetrics/gynecology | Incontinence and Osteoporosis Center LLC | 198 Four States Dr, Suite 1, Galena, KS 66739-4305 |
| Lindsey Rawlins | Nurse Practitioner | Manzer Family Medicine LLC | 1605, K66 Suite A, Galena, KS 66739-4306 |
| Regan M Gass | Nurse Practitioner | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Sandra K Main | Clinical Psychologist | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Terry L Vogt | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Rhonda R Stork | Physical Therapy | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Stephanie Hallacy | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Joshua Sweet | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Find all physicians in zip 66739 | |||
| City | GALENA |
| Zip Code | 66739 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GALENA + 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.