| Alex Amos, | |
| 
					5300 N Meadows Dr, Grove City, OH 43123-2546  | |
| (614) 663-5000 | |
| Not Available | 
| Full Name | Alex Amos | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 5300 N Meadows Dr, Grove City, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710677521 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.451751 (Ohio) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0020854 (Ohio) | Primary | 
| Entity Name | Premier Anesthesia Of Ohio Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alex Amos, 600 W Goodale St Apt 469, Columbus, OH 43215-1908 Ph: (740) 818-5359  | Alex Amos, 5300 N Meadows Dr, Grove City, OH 43123-2546 Ph: (614) 663-5000  | 
Clayton Roush, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2977 Orders Rd, Grove City, OH 43123 Phone: 304-593-8209  | |
Randall Kinietz,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5300 N Meadows Dr, Grove City, OH 43123 Phone: 614-663-5000  | |
Jacob Deemer,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1649 Nature Dr, Grove City, OH 43123 Phone: 724-809-1042  |