| Dr Keri L Azuar, MD | |
|
250 Thompson St., St. Paul, MN 55102 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Dr Keri L Azuar |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 250 Thompson St., St. Paul, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427060334 | NPI | - | NPPES |
| 021768 | Other | CO | KAISER COMMERCIAL NUMBER |
| 54756219 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 45449 (Colorado) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 65451 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springfield Regional Medical Center | Springfield, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Paulding County Hospital | Paulding, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Kettering Network Radiologists Inc | 7618960303 | 70 |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20200729004154 |
| Entity Name | Kettering Network Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20221118002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keri L Azuar, MD 166 4th St. E., Ste. 100, St. Paul, MN 55101-1474 Ph: (651) 292-2000 | Dr Keri L Azuar, MD 250 Thompson St., St. Paul, MN 55102 Ph: (651) 292-2000 |
Craig Paul Rodriguez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St., St. Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136 | |
Pamela J Wymore, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th Street E, St. Paul, MN 55101 Phone: 651-292-2000 Fax: 651-292-2136 |