| Mr Blaine Emanuel Rider, CRNA | |
|
808 Russell Palmer Rd, Kingwood, TX 77339-1689 | |
| (281) 540-0685 | |
| (281) 540-0684 |
| Full Name | Mr Blaine Emanuel Rider |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 808 Russell Palmer Rd, Kingwood, Texas |
| 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 |
|---|---|---|---|
| 1679869168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP120948 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 087222 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uvalde Memorial Hospital | Uvalde, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uvalde County Hospital Authority | 7315832722 | 17 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Uvalde County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740288505 PECOS PAC ID: 7315832722 Enrollment ID: O20040216000884 |
| Entity Name | Nhci Of Hillsboro Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437108792 PECOS PAC ID: 6103711817 Enrollment ID: O20040219001031 |
| Entity Name | Val Verde Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
| Entity Name | Mission Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629181961 PECOS PAC ID: 0042270563 Enrollment ID: O20041018001243 |
| Entity Name | Christus Health Ark-la-tex |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184623266 PECOS PAC ID: 2264325588 Enrollment ID: O20050324001186 |
| Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
| Entity Name | Gulf Coast Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396020236 PECOS PAC ID: 8527234517 Enrollment ID: O20111221000448 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Stratus Dominion Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912350976 PECOS PAC ID: 8123313186 Enrollment ID: O20160830000965 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Hill Regional Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679189856 PECOS PAC ID: 6002220464 Enrollment ID: O20210126000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blaine Emanuel Rider, CRNA 1610 Leafhopper Ln, Conroe, TX 77301-5306 Ph: (337) 322-4753 | Mr Blaine Emanuel Rider, CRNA 808 Russell Palmer Rd, Kingwood, TX 77339-1689 Ph: (281) 540-0685 |
Ms. Linda Fincher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 808 Russell Palmer Rd, 151, Kingwood, TX 77339 Phone: 281-540-7500 Fax: 281-540-7502 |