| Leon Victor Chagolla Ii, CRNA | |
|
2751 Kingsford Dr, Toledo, OH 43614-4416 | |
| (419) 290-6072 | |
| Not Available |
| Full Name | Leon Victor Chagolla Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2751 Kingsford Dr, Toledo, Ohio |
| 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 |
|---|---|---|---|
| 1831587617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.16947-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Anesthesia Providers Llc | 2567682073 | 9 |
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 363 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Northern Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821498650 PECOS PAC ID: 2567682073 Enrollment ID: O20141006000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Victor Chagolla Ii, CRNA 2751 Kingsford Dr, Toledo, OH 43614-4416 Ph: (419) 290-6072 | Leon Victor Chagolla Ii, CRNA 2751 Kingsford Dr, Toledo, OH 43614-4416 Ph: (419) 290-6072 |
Mr. John Scribner, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4452 Cullen Ln, Toledo, OH 43611 Phone: 419-215-6511 | |
Lyndsay Brentlinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-531-8808 Fax: 419-531-9342 | |
Gregory Halstead, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4524 Fax: 419-245-6018 | |
Ms. Jamie L Nash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-471-4491 Fax: 419-479-6905 | |
Christine Sophia Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Kellyn A Diller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4491 Fax: 419-479-6905 | |
Stacey Rissman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 |