Gary M Bartels, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Oberlin, KS
NPI 1063545499 · NPPES record last updated Jan 6, 2009
Key facts
- NPI
- 1063545499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 54112 (KS)
- Practice address
- 810 W Columbia St
Oberlin, KS 67749-2450 - Phone
- (785) 475-2208
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54112 | KS | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 54112 | KS | Yes |
Addresses
Primary practice location
810 W Columbia St
Oberlin, KS 67749-2450
Mailing address
203 N Marks Ave
Oberlin, KS 67749-1945
Phone (785) 475-2004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100246350A | Medicaid | KS | |
| 145094 | Other | KS | CRNA BCBS GARY |
Other providers in Oberlin, KS
- Shannon R Addleman
- Richard Akromis
- Stelian N. Andreca
- Applied Computer Technology Inc
- Andrea Burmaster
- Cedar Living Center
- Derek Michael Chambers
- County of Decatur
- County of Decatur
All providers in Oberlin, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.