Walter T Edalgo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN154240 Issued in GA

Practice address

777 Hemlock St
Macon, GA 31201-2102

Phone

(478) 633-6706

Fax

(478) 633-5384

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Overwatch Anesthesia 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 83)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Overwatch Anesthesia

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1528616810

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Solutions of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Canton, GA
  • NPI 1093035677

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CSP Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1568946812

  GA

  Medicare reassignment NPD
• Grand Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1689230724

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Integrated Anesthesia Solutions, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1205656618

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ironcrest Anesthesia LLC

  • Anesthesiology Physician
  • Milledgeville, GA
  • NPI 1114815271

  GA

  Medicare reassignment NPD
• Macon Gastroenterology Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1922463132

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Nmda Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1306123336

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1922402445

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Radiance Anesthesia

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1194381236

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Anesthesiology Nurses of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1669737409

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Nurse Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1003168923

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1124050034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013357",
            "telephone_number": "478-633-6706",
            "fax_number": "478-633-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-6706",
            "fax_number": "478-633-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALGO",
        "first_name": "WALTER",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN154240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Eberlein, FNP-C
• Jordyn Ann Ebert, DMD
• Brooke Eck
• Eclat Anesthesia
• Eclipse Anesthesia LLC
• Gary Eddy Sr., MD
• Dara Edghill, CRNA
• Hayley Edmonston, PMHNP-BC
• Edward D Conner MD PC
• Consuela Bertina Edwards, LPC

• All providers in Macon, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.