Johnathan Tyler Nicholls, CRNA | |
8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260 | |
(480) 256-1520 | |
(480) 478-6628 |
Full Name | Johnathan Tyler Nicholls |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 8424 E Shea Blvd Ste 101, Scottsdale, 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 |
---|---|---|---|
1639684699 | NPI | - | NPPES |
390207 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 6566569-3102 (Utah) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1494 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arrowhead Hospital | Glendale, AZ | Hospital |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners And Management Llc | 9931429198 | 129 |
Entity Name | Anesthesia Partners & Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Mailing Address | Practice Location Address |
---|---|
Johnathan Tyler Nicholls, CRNA 9424 W Eaton Rd, Phoenix, AZ 85037-4274 Ph: (801) 808-2672 | Johnathan Tyler Nicholls, CRNA 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260 Ph: (480) 256-1520 |
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115 | |
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000 | |
John Paul Moyle, DNP, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Cade James Scanlon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |