| Aziz Tahirov, CRNA | |
|
320 Pomfret Street, Putnam, CT 06260 | |
| (860) 928-6541 | |
| Not Available |
| Full Name | Aziz Tahirov |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 320 Pomfret Street, Putnam, Connecticut |
| 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 |
|---|---|---|---|
| 1639590466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN646736 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 005603 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Langhorne, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Pennsylvania Llc | 5092941161 | 113 |
| Entity Name | Rgal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
| Entity Name | Northstar Anesthesia Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700218989 PECOS PAC ID: 5092941161 Enrollment ID: O20131119001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Aziz Tahirov, CRNA 1613 N. Harrison Parkway, Suite 200, Mailstop Sh-9a, Sunrise, FL 33323-2896 Ph: (954) 838-2371 | Aziz Tahirov, CRNA 320 Pomfret Street, Putnam, CT 06260 Ph: (860) 928-6541 |
Michael M. Barry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 | |
Mrs. Summer R Slanda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret Street, Putnam, CT 06260 Phone: 860-928-6541 Fax: 954-851-1746 | |
Mrs. Nancy P. Deptulski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15 Brookside Lndg, Attn Nancy Deptulski, Putnam, CT 06260 Phone: 860-634-4449 | |
Richard A Guilbault, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 |