Active NPI
Christopher Gatheral, CRNA
- Certified Registered Nurse Anesthetist
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9226246
- Practice address
- 2021 Kingsley Ave
Suite 105
Orange Park, FL 32073-5174 - Phone
- (904) 276-5400
- Fax
- (904) 276-5430
- NPI assigned
- Feb 8, 2012
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 9226246 | FL | Primary |
Addresses
Primary practice location
2021 Kingsley Ave
Suite 105
Orange Park, FL 32073-5174
Mailing address
2021 Kingsley Ave
Suite 105
Orange Park, FL 32073-5174
Phone (904) 276-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004773300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226246 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Regional Medical Centers | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of South Carolina LLC | Current | Accepting new patients | |
| Aiken Regional Medical Centers LLC | Current | Accepting new patients | |
| Aiken Regional Medical Centers LLC | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1205518792
-
dba Aiken Regional Medical Center
- Other Specialist/Technologist
- Aiken, SC
- NPI 1316955875
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered
-
dba Aiken Regional Medical Centers CRNAs/Psychiatrist/Internal Medicine
- Certified Registered Nurse Anesthetist
- Aiken, SC
- NPI 1083663553
Nurse Anesthetist, Certified Registered
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1316219231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 KINGSLEY AVE",
"address_2": "SUITE 105",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735174",
"telephone_number": "904-276-5400",
"fax_number": "904-276-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 KINGSLEY AVE",
"address_2": "SUITE 105",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735174",
"telephone_number": "904-276-5400",
"fax_number": "904-276-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATHERAL",
"first_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9226246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004773300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Amy Lohrke Garrett, M.D.
- Lisa Garrett, PTA
- Lisa Garrett, LMH
- Larry Steven Garsha, M.D.
- Gordon B Garver, D.C.
- Frances Maribel Gaudier-Schmidt, DNP, AGPCNP-BC
- Gauler and Associates, LLC (Florida Counseling and Evaluation Services)
- Ashley Keen Gavelek, FNP-C
- William Horst Gazzola, D.O.
- Emily C Gehret, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.