Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Leslie Ray Waltman III, CRNA

Individual provider Registered Nurse · NPI 1790053569

Mr. Leslie Ray Waltman III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Overland Park, Kansas. Graduated from University of Alabama School of Medicine in 2011, 15 years ago. Practices with Lake Ozark Anesthesia and Associates, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Alabama and Missouri.

Years since qualifying
15
Trained at
University of Alabama School of Medicine
Licensed in
AL, MO
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

8717 W 110th St Ste 600
Overland Park, KS 66210-2144
Phone: (205) 474-3208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2012006261 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 1-115596 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 2011040586 (MO)

Record details

NPI number1790053569
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 8, 2011
Last updated in NPPESFebruary 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Lake Ozark Anesthesia And Associates, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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