Richard Vidaud, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024184195 Issued in VA

Practice address

2900 Lamb Cir
Christiansburg, VA 24073-6344

Phone

(540) 731-2802

Fax

(540) 731-2230

NPI assigned

Mar 23, 2006

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Carilion Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • Roanoke, VA
  • NPI 1184634156

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesiology Associates of Radford Inc

  • Anesthesiology Physician
  • Christiansburg, VA
  • NPI 1407878465
  Medicare reassignment NPD
• Anesthesia Consultants of St Petersburg PA

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1982631800
  NPD (past)
• Anesthesiologist Associates PA

  • Anesthesiology Physician
  • Hudson, FL
  • NPI 1306889910
  NPD (past)
• Florida Gulf-to-Bay Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1083665426
  NPD (past)
• Institute of Interventional Pain Management PA

  • Interventional Pain Medicine Physician
  • Brooksville, FL
  • NPI 1235227075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carilion Giles Community Hospital

  • Hospitalist Physician
  • Pearisburg, VA
  • NPI 1023663267
  Care Compare affiliation
• Carilion Giles Community Hospital

  • Emergency Medicine Physician
  • Pearisburg, VA
  • NPI 1164076634

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304
  Care Compare affiliation
• Carilion Giles Community Hospital

  • Multi-Specialty Clinic/Center
  • Pearisburg, VA
  • NPI 1346894813

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1184684425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2802",
            "fax_number": "540-731-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAUD",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3119372",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024184195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302071101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.