| Mr Christoph Ralph Stouder, CRNA | |
|
1159 Oakton Trl, Evans, GA 30809-5224 | |
| (877) 727-1960 | |
| (706) 854-8454 |
| Full Name | Mr Christoph Ralph Stouder |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1159 Oakton Trl, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033191358 | NPI | - | NPPES |
| 000822533 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN138653 (Georgia) | Primary |
| 174400000X | Specialist | RN138653 (Georgia) | Secondary |
| Entity Name | Gastroenterology Consultants of Augusta, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508089137 PECOS PAC ID: 4486643434 Enrollment ID: O20040506001129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christoph Ralph Stouder, CRNA 4393 Fernbrook Xing, Evans, GA 30809-4602 Ph: (706) 364-7042 | Mr Christoph Ralph Stouder, CRNA 1159 Oakton Trl, Evans, GA 30809-5224 Ph: (877) 727-1960 |
Mrs. Christine Leigh Futch Pickrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 Pond View Rd, Evans, GA 30809 Phone: 706-284-3163 |
Justin Paul Thompson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2028 Egret Cir, Evans, GA 30809 Phone: 706-306-0422 |
Mr. Darrell Ragan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Full Circle Dr, Evans, GA 30809 Phone: 706-631-9979 |
Emma Collom, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4211 Aerie Cir, Evans, GA 30809 Phone: 912-506-4435 |
Lori Marie Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4090 Eagle Nest Dr, Evans, GA 30809 Phone: 706-836-0246 |
Ellis Lamar Wynn Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1139 Picket Fence Dr, Evans, GA 30809 Phone: 229-854-9517 |