| Chad C Lanphear, AA | |
|
100 Mallard Creek Rd, Louisville, KY 40207-4194 | |
| (502) 690-8782 | |
| (502) 459-0923 |
| Full Name | Chad C Lanphear |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 11 Years |
| Location | 100 Mallard Creek Rd, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1104213388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000270 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Carmel New Albany Surgical Hospital | New albany, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osu Observation Medicine, Llc | 3375692270 | 403 |
| Consultant Anesthesiologists Inc. | 3577467109 | 69 |
| Entity Name | Consultant Anesthesiologists Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457420580 PECOS PAC ID: 3577467109 Enrollment ID: O20031125000053 |
| Entity Name | Osu Observation Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad C Lanphear, AA 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8487 | Chad C Lanphear, AA 100 Mallard Creek Rd, Louisville, KY 40207-4194 Ph: (502) 690-8782 |
Scott Thomas Woodward, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 320 Whittington Pkwy, Suite 301, Louisville, KY 40222 Phone: 502-625-5584 Fax: 502-426-2264 | |
Ms. Elizabeth Anne Rivera, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Whittington Pkwy Ste 301, Louisville, KY 40222 Phone: 502-625-5584 |