| Chadley Brunk, | |
|
2213 Cherry St, Toledo, OH 43608-2603 | |
| (419) 251-3232 | |
| Not Available |
| Full Name | Chadley Brunk |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2213 Cherry St, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083392500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.441801 (Ohio) | Primary |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Chadley Brunk, 167 Carney Dr, Dundee, MI 48131-9547 Ph: () - | Chadley Brunk, 2213 Cherry St, Toledo, OH 43608-2603 Ph: (419) 251-3232 |
Mr. John Scribner, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4452 Cullen Ln, Toledo, OH 43611 Phone: 419-215-6511 | |
Lyndsay Brentlinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-531-8808 Fax: 419-531-9342 | |
Gregory Halstead, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4524 Fax: 419-245-6018 | |
Ms. Jamie L Nash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-471-4491 Fax: 419-479-6905 | |
Christine Sophia Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Kellyn A Diller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4491 Fax: 419-479-6905 | |
Stacey Rissman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 |