Active NPI
Walter Edward Geldrich, CRNA
- Certified Registered Nurse Anesthetist
- Seymour, TN
National Provider Identifier
1679799803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 61293
- Practice address
- 1545 Fawn Dr
Seymour, TN 37865 - Phone
- (865) 579-6302
- NPI assigned
- Apr 17, 2007
- 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 | 61293 | TN | Primary |
Addresses
Primary practice location
1545 Fawn Dr
Seymour, TN 37865
Mailing address
1545 Fawn Dr
Seymour, TN 37865
Phone (865) 579-6302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Knoxville, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Knoxville Ophthalmology ASC, LLC | Past | Accepting new patients | |
| East Tennessee Neuropathy, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1669449518
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1649511965
-
- Ambulatory Surgical Clinic/Center
- Knoxville, TN
- NPI 1013997915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679799803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 FAWN DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "37865",
"telephone_number": "865-579-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 FAWN DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "37865",
"telephone_number": "865-579-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDRICH",
"first_name": "WALTER",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "61293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.