| Dr Paul R Colavincenzo, MD | |
|
1625 Delco Park Dr, Dayton, OH 45420-1391 | |
| (937) 293-8228 | |
| (937) 293-8228 |
| Full Name | Dr Paul R Colavincenzo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 39 Years |
| Location | 1625 Delco Park Dr, Dayton, 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 |
|---|---|---|---|
| 1154312445 | NPI | - | NPPES |
| 0703304 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35056613 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Anesthesia Associates, Inc | 0648170365 | 35 |
| Anesthesia Associates Of Cincinnati, Inc | 4789598509 | 120 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | Kettering Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689627739 PECOS PAC ID: 0648170365 Enrollment ID: O20040109000871 |
| Entity Name | Rural Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437108164 PECOS PAC ID: 1456380450 Enrollment ID: O20050810000570 |
| Entity Name | Dayton Anesthesia & Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul R Colavincenzo, MD Po Box 932759, Cleveland, OH 44193-1500 Ph: (937) 293-8228 | Dr Paul R Colavincenzo, MD 1625 Delco Park Dr, Dayton, OH 45420-1391 Ph: (937) 293-8228 |
Sumiko S Sarle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mr. Antonio M Licata, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Joseph Mulcare, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Dr. Roberta Elizabeth Galford, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1997 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-401-6220 | |
Dr. Thomas James Fritz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mark Chambers, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409 Phone: 937-208-2627 | |
Nancy Kwon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Fl, Anes. Dept., Attn: Barb, Dayton, OH 45409 Phone: 937-208-4380 |