| James C Hataway, CRNA | |
|
1613 Nw 136th Ave, #200, Sunrise, FL 33323-2853 | |
| (954) 838-2371 | |
| (954) 851-1758 |
| Full Name | James C Hataway |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1613 Nw 136th Ave, Sunrise, 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 |
|---|---|---|---|
| 1992807895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 666267 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024174448 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wythe County Community Hospital | Wytheville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Mailing Address | Practice Location Address |
|---|---|
| James C Hataway, CRNA Po Box 452319, Sunrise, FL 33345-2319 Ph: (954) 838-2371 | James C Hataway, CRNA 1613 Nw 136th Ave, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
Ashley Wald Lafferty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323 Phone: 954-838-2588 Fax: 954-514-3979 | |
Velda M. Vandling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Mary T Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14050 Nw 14th St Ste 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042 | |
Gilfredo Figueroa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Chales A. Noyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Wanda L. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Carol Rimron Pfrogner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 |