Christopher Wayne Theodore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

#CTP000134 Issued in AR

Practice address

300 Werner
St. Joseph Hospital
Hot Springs, AR 71913-6921

Phone

(501) 622-1875

Fax

(501) 525-1925

NPI assigned

May 12, 2010

Last updated

May 12, 2010By 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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Arkansas Health Group

  dba Arkansas Health Group Anesthesia

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment Care Compare group NPD
• McGowan Court Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Hot Springs, AR
  • NPI 1982955621

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Harris and Theodore Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Malvern, AR
  • NPI 1184975955
  Medicare reassignment
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Barbara Lazerus Crna Ms

  • Anesthesiology Physician
  • Malvern, AR
  • NPI 1326002684
  NPD (past)
• Midstate Medical Services PA

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1851315501
  NPD (past)
• Pad Specialists - Little Rock PLLC

  • Interventional Cardiology Physician
  • Little Rock, AR
  • NPI 1265189948
  NPD (past)

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

• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1548588783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVENUE, SUITE H",
            "address_2": "MIDSTATE MEDICAL SERVICES",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136921",
            "telephone_number": "501-525-5840",
            "fax_number": "501-525-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER",
            "address_2": "ST. JOSEPH HOSPITAL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136921",
            "telephone_number": "501-622-1875",
            "fax_number": "501-525-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "#R72957",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "#CTP000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Caring Place Inc
• The Dermatology Clinic PA
• The Dermatology Clinic PA (The Dermatology Clinic PA-Malvern Ave Clinic)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Hot Springs Village)
• Aron Theiss, OTA
• Amy Thomas
• Emani Thomas
• Karen Thomas, PT
• Nawodney Thomas, MHPP
• Sara Deane Thomas, AT

• Certified Registered Nurse Anesthetist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.