| Kristy Renee Rodriguez, RN, CRNA | |
|
1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | |
| (580) 354-5437 | |
| Not Available |
| Full Name | Kristy Renee Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407271117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | NUR R 27604 (Alaska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NUR A 435 (Alaska) | Primary |
| Entity Name | Cmsc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20130502000527 |
| Entity Name | Northstar Anesthesia Of Montana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265059869 PECOS PAC ID: 5395151294 Enrollment ID: O20210301001196 |
| Entity Name | Ascend Anesthesia Associates Mt Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336819697 PECOS PAC ID: 9032508049 Enrollment ID: O20211112001747 |
| Entity Name | U S Anesthesia Partners Of Montana P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588359855 PECOS PAC ID: 8022474675 Enrollment ID: O20230524000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Renee Rodriguez, RN, CRNA 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: () - | Kristy Renee Rodriguez, RN, CRNA 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (580) 354-5437 |
Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 | |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 | |
Dai An Le, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |