Active NPI
Andrew Charles Crider, A.A.
- Anesthesiologist Assistant
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA813
- Practice address
- 460 Lanier Rd
Madison, AL 35758-1866 - Phone
- (256) 319-9000
- NPI assigned
- Apr 18, 2006
- Last updated
- Jan 17, 2013
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA813 | AL | Primary |
Addresses
Primary practice location
460 Lanier Rd
Madison, AL 35758-1866
Mailing address
2006 Franklin St SE
Suite 301
Huntsville, AL 35801-4551
Phone (256) 539-9471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051555185 | Medicaid | AL | |
| 51524120 | Other | AL | BCBS ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632 | GA | MD | Clinical Psychologist |
| 2438 | GA | MD | Counseling Psychologist |
| AA813 | AL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physynergy, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Physynergy, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Physynergy, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Huntsville Anesthesiology Consultants PC | Past | Accepting new patients | |
| The Sylacauga Health Care Authority | Past | Accepting new patients | |
| Physynergy, LLC | Anesthesiologist Assistant | Past | Accepting new patients |
| Comprehensive Anesthesia Services PC | Past | Accepting new patients | |
| Physician Specialists in Anesthesia, P.C. | Anesthesiologist Assistant | Past | Accepting new patients |
Locations
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200
Organizations & group practices 8
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
- Huntsville, AL
- NPI 1194704742
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1073661492
-
dba dba Coosa Valley Medical Center
- Family Medicine Physician
- Sylacauga, AL
- NPI 1124235320
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1316968662
Anesthesiologist Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crestwood Medical Center
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1891750584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE",
"address_2": "SUITE 301",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014551",
"telephone_number": "256-539-9471",
"fax_number": "256-539-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 LANIER RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357581866",
"telephone_number": "256-319-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "ANDREW",
"middle_name": "CHARLES",
"credential": "A.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "AL",
"license": "AA813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051555185",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALABAMA",
"identifier": "51524120",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.