| Ryan Salter, | |
|
1257 E Sweet Citrus Dr, San Tan Valley, AZ 85140-5149 | |
| (480) 399-1985 | |
| Not Available |
| Full Name | Ryan Salter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1257 E Sweet Citrus Dr, San Tan Valley, Arizona |
| 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 |
|---|---|---|---|
| 1417356130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN186114 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1069 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abrazo Scottsdale Campus | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Anesthesia Services Pllc | 3971850892 | 57 |
| Entity Name | Dec Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Summit Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694 |
| Entity Name | Summit Anesthesia Pain Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598222812 PECOS PAC ID: 0547500563 Enrollment ID: O20190328001717 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Salter, 7126 E Osborn Rd, Apt 3004, Scottsdale, AZ 85251 Ph: (480) 399-1985 | Ryan Salter, 1257 E Sweet Citrus Dr, San Tan Valley, AZ 85140-5149 Ph: (480) 399-1985 |
Tyler James Bagley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 661 W Via De Palmas, San Tan Valley, AZ 85140 Phone: 530-868-7509 |