| John A Kidd, MD | |
|
130 2nd St, Ste. A107, Neenah, WI 54956-2883 | |
| (920) 729-3332 | |
| Not Available |
| Full Name | John A Kidd |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 130 2nd St, Neenah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538157201 | NPI | - | NPPES |
| 000645170 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 39803-020 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 262908 (New York) | Primary |
| Entity Name | Resource Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588647200 PECOS PAC ID: 6103713078 Enrollment ID: O20040325001297 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
| Entity Name | Lynbrook Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881871630 PECOS PAC ID: 0244314904 Enrollment ID: O20080220000295 |
| Entity Name | Premier Anesthesia Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Kidd, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (920) 729-3332 | John A Kidd, MD 130 2nd St, Ste. A107, Neenah, WI 54956-2883 Ph: (920) 729-3332 |
Dr. Alexander Jon Zenzick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 N Commercial St, Suite 300, Neenah, WI 54956 Phone: 920-527-8086 | |
Steven D Reilly, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Ste. A107, Neenah, WI 54956 Phone: 920-729-3332 | |
Ammar Mahmoud, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1540 Lyon Dr, Neenah, WI 54956 Phone: 920-276-8600 Fax: 920-632-6806 | |
David E Maltry, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Ste. A107, Neenah, WI 54956 Phone: 920-729-3332 | |
Jenny Jun, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-202-3912 | |
Frank Podojil, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Ste A107, Neenah, WI 54956 Phone: 920-729-3332 | |
Jerome E Bormes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Ste. A107, Neenah, WI 54956 Phone: 920-729-3332 |