Anthony Wade Haddock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-098954 Issued in AL

Practice address

205 Marengo St
Florence, AL 35630-6033

Phone

(256) 768-9191

Fax

(256) 768-9775

NPI assigned

Jan 12, 2008

Last updated

Jan 12, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Namc Anesthesia Services LLCGroup PAC ID 3476959966, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
• North Alabama Medical Center Hospital, Florence, AL, CCN 010006

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.

• Namc Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Florence, AL
  • NPI 1710551940

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• RCHP - Florence LLC

  dba Shoals Hospital - Crna

  • Hospitalist Physician
  • Muscle Shoals, AL
  • NPI 1023322369

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• RCHP - Florence LLC

  • Hospitalist Physician
  • Florence, AL
  • NPI 1336447507

  Nurse Anesthetist, Certified Registered

  NPD

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

• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation
• RCHP - Florence LLC

  dba Shoals Hospital

  • General Acute Care Hospital
  • Muscle Shoals, AL
  • NPI 1699096552
  Care Compare affiliation

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1942486618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "ANTHONY",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-098954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Grutzik, PA-C
• Amna Gul
• Selena Michelle Gurley, CRNP
• Russell B Guyton, RPH
• Allison Haddock, CRNP
• Jason Haddock, D.C.
• Gerard Donald Haggstrom, M.D.
• Sierra Hakanson
• Christie Deanna Hale, CRNP
• William Andrew Hale, MPT

• Certified Registered Nurse Anesthetist in Florence, AL
• Providers in Florence, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.