| Charles Gerard Fahrenholtz, DNP,CRNA | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-8610 | |
| (352) 273-8612 |
| Full Name | Charles Gerard Fahrenholtz |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073179735 | NPI | - | NPPES |
| 103759300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9510615 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11003021 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiologists Of Greater Orlando Inc | 7416928536 | 284 |
| Entity Name | Anesthesiologists Of Greater Orlando Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gerard Fahrenholtz, DNP,CRNA 10043 Grand Canal Dr Unit 17301, Windermere, FL 34786-5863 Ph: (504) 818-4743 | Charles Gerard Fahrenholtz, DNP,CRNA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8610 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
J'woin Maalik Harrison, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-7906 | |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 |