WALTER W WOODRUFF CRNA
NPI 1407854755
Nurse Anesthetist, Certified Registered in Texarkana, TX

Q: What is Walter Woodruff's NPI number?

The NPI number for Walter Woodruff is 1407854755. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Walter Woodruff's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Woodruff was last updated on July 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2005

4100 SUMMERHILL RD, TEXARKANA, TX 75503(903) 735-9802(903) 735-9806 Get Directions Write a Review

NPPES record last updated: July 26, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Walter W Woodruff Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER W WOODRUFF CRNA (NPI 1407854755) is an individual nurse anesthetist, certified registered in Texarkana, Texas, licensed in Texas (504083) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1407854755

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWALTER W WOODRUFFCredential: CRNA

Location Address4100 SUMMERHILL RDTexarkana, TX 75503-2732

Mailing Address4100 Summerhill RdTexarkana, TX 75503-2732 · (903) 735-9802 · Fax (903) 735-9806

Phone(903) 735-9802

Fax(903) 735-9806

Sole ProprietorNo

Enumeration DateJuly 11, 2005

Last NPPES UpdateJuly 26, 2014

✔ NPI 1407854755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 504083

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4100 SUMMERHILL RD, Texarkana, TX 75503

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Other Identifiers 6

Other83136CTX · Blue Cross

Other84329AR · Blue Cross

Medicare ID-Type Unspecified83136CTX

Medicaid117305701AR

Medicare ID-Type Unspecified430011917Railroad

Medicaid002849001TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRANDON WILEY C.R.N.A.

Nurse Anesthetist, Certified Registered