Active NPI
John C Walthall, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 67298
- Practice address
- 1735 Taylor St
Columbia, SC 29201-3452 - Phone
- (803) 254-8449
- NPI assigned
- Jul 26, 2005
- Last updated
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 67298 | SC | Primary |
Addresses
Primary practice location
1735 Taylor St
Columbia, SC 29201-3452
Mailing address
148 Welchman Ave
Goose Creek, SC 29445-7152
Phone (843) 327-6616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2739 Laurel St
1B
Columbia, SC 29204-2028
Phone (803) 254-9588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67298 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Columbia Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health-Midlands | Past | Accepting new patients | |
| Trident Anesthesia Group, LLC | Past | Accepting new patients | |
| Fairfield Memorial Hospital | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Colleton Medical Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Colleton Medical Hospitalists LLC | Past | Accepting new patients | |
| Mobile Anesthesia, LLC | Past | Accepting new patients |
Locations
2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544
1141 N Road St
#1
Elizabeth City, NC 27909
Phone (252) 338-0101
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732
2631 Forest Dr
Columbia, SC 29204
Phone (803) 254-8449
2739 Laurel St
Ste 1B
Columbia, SC 29204
Phone (803) 254-9588
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194
945 82nd Pkwy
Ste 2
Myrtle Beach, SC 29572
Phone (843) 839-0823
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
131 Summerplace Dr
West Columbia, SC 29169
Phone (803) 794-4585
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1164765723
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
Nurse Anesthetist, Certified Registered, SC
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1144557232
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Certified Registered Nurse Anesthetist
- Walterboro, SC
- NPI 1659316958
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Walterboro, SC
- NPI 1942245246
-
- Critical Access Hospital
- Winnsboro, SC
- NPI 1386604726
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1154321743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 WELCHMAN AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457152",
"telephone_number": "843-327-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 TAYLOR ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013452",
"telephone_number": "803-254-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHALL",
"first_name": "JOHN",
"middle_name": "C",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "67298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.